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DR. RANDY M ENNEN M.D.
NPI 1124089222
Ophthalmology in Fort Smith, AR

Active since March 29, 2006
100/100
CMS Quality Rating
3312 S 70TH ST, FORT SMITH, AR 72903(479) 452-7800(479) 452-9486 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randy M Ennen M.d. NPPES

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

DR. RANDY M ENNEN M.D. (NPI 1124089222) is an individual ophthalmology provider in Fort Smith, Arkansas, licensed in Arkansas (N7403) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1124089222
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RANDY M ENNENCredential: M.D.
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
Phone(479) 452-7800
Fax(479) 452-9486
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
✔ NPI 1124089222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AR · N7403
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.
3312 S 70TH ST, Fort Smith, AR 72903
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Other Identifiers 2

Medicaid100177380AOK
Medicaid114450001AR

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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.

ENNEN EYE CENTER, P.A.
Ophthalmology
3312 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-7800
PARKER PRATT OD
Optometrist
3312 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-7800
DR. CHRISTOPHER JOEL RODRIGUEZ MD
Ophthalmology
3312 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-7800

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 Randy Ennen's NPI number?

The NPI number for Randy Ennen is 1124089222. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Randy Ennen located?

Randy Ennen practices at 3312 S 70th St, Fort Smith, AR 72903. The listed phone number is (479) 452-7800.

What is Randy Ennen's specialty?

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

When was this NPI record last updated?

The NPPES record for Randy Ennen was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.