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Dr. Randy M Ennen, M.D.

Ophthalmology Physician in Fort Smith, AR · enumerated 2006 · practices at Ennen Eye Center, P.A..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124089222

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Registry record

Entity type Individual (Type 1)
Name Dr. Randy M Ennen
Credential M.D.
Sex Male
Practice address 3312 S 70th St, Fort Smith, AR, 72903
Phone (479) 452-7800
Fax (479) 452-9486
Enumeration date Mar 29, 2006
Last updated in NPPES Mar 18, 2021

Taxonomy & licenses

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License N7403 (AR) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
114450001 Medicaid AR -
100177380A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Randy Ennen?
The National Provider Identifier (NPI) for Randy Ennen is 1124089222, a Type 1 (individual) record in the CMS NPPES registry.
Where does Randy Ennen practice?
The practice location on file with NPPES is in Fort Smith, AR. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-18.