ENNEN EYE CENTER
NPI 1003877150
Ophthalmology in Fort Smith, AR

Active since March 29, 2006CLIA 04D2023634 · Waiver
3312 S 70TH ST, FORT SMITH, AR 72903(479) 452-7800(479) 452-9486 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ennen Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENNEN EYE CENTER (NPI 1003877150) is a healthcare organization registered as an ophthalmology in Fort Smith, Arkansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Randy M. Ennen, President, as its authorized official.

NPPES Registry Identity

NPI1003877150
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameENNEN EYE CENTER, P.A.
Location Address3312 S 70TH STFort Smith, AR 72903-5052
Mailing Address3312 S 70th StFort Smith, AR 72903-5052 · (479) 452-7800 · Fax (479) 452-9486
Fax(479) 452-9486
Organization SubpartNo
Authorized OfficialRandy M. EnnenPresident · (479) 452-7800
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 12, 2012
NPI 1003877150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOptometristTaxonomy 152W00000X
3312 S 70TH ST, Fort Smith, AR 72903

Other Names 1

Doing Business AsEnnen Eye Center

Other Identifiers 4

Medicaid100177380BOK
Medicare NSC4351100001AR
Medicare ID-Type Unspecified5C372
Medicaid152215002AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2023634

Ennen Eye Center · Fort Smith, AR
Active · expires Apr 27, 2027
CLIA Number04D2023634
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorRandy M. Ennen
Laboratory Phone(479) 452-7800
Laboratory LocationEnnen Eye Center3312 South 70th Street, Fort Smith, AR 72903
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
3312 S 70TH ST
FORT SMITH, AR 72903
Ophthalmology
3312 S 70TH ST
FORT SMITH, AR 72903
Ophthalmology
3312 S 70TH ST
FORT SMITH, AR 72903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ennen Eye Center, P.A.'s NPI number?

The NPI number for Ennen Eye Center, P.A. is 1003877150. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Ennen Eye Center, P.A. located?

Ennen Eye Center, P.A. is located at 3312 S 70th St, Fort Smith, AR 72903. The listed phone number is (479) 452-7800.

What is Ennen Eye Center, P.A.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Ennen Eye Center, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2023634) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ennen Eye Center, P.A. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Sunflower Health Plan and 4 other insurers list Ennen Eye Center, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ennen Eye Center, P.A. was last updated on April 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.