Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Randy M Ennen, MD

Individual provider Ophthalmology Physician · NPI 1124089222

Dr. Randy M Ennen, MD is an Ophthalmology Physician in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3312 S 70th St
Fort Smith, AR 72903-5052
Phone: (479) 452-7800
Fax: (479) 452-9486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence N7403 (AR)

Record details

NPI number1124089222
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2006
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address3312 S 70th St, Fort Smith, AR 72903-5052

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