Ennen Eye Center
LBN: Ennen Eye Center, P.A.
Ennen Eye Center is an health care organization with primary practice located at 3312 S 70Th St , Fort Smith AR 72903-5052. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Ennen Eye Center, P.A. can be contacted via phone (479) 452-7800, or through Ennen, Randy M. via phone (479) 452-7800.
Contact Information
Primary practice address
3312 S 70Th St
Fort Smith AR 72903-5052
Phone: (479) 452-7800
Fax: (479) 452-9486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1003877150 |
|---|---|
| LBN Legal business name | Ennen Eye Center, P.A. |
| DBA Doing business as | Ennen Eye Center |
| Authorized official | Ennen, Randy M. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 12th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003877150 | NPPES |
| Oklahoma | MEDICAID | 100177380B | |
| Oklahoma | MEDICAID | 152215002 |
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