DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RANDY M ENNEN, M.D.

Active

Ophthalmology · FORT SMITH, AR

Registration Details

NPI Number
1124089222
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2006 (20.105423565288 yrs)
Last Updated
Mar 18, 2021
License
N7403 (AR)

Practice Information

Address
3312 S 70TH ST
FORT SMITH, AR, 729035052
Browse AR providers · Browse ZIP 72903
Phone
4794527800
Fax
4794529486
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in FORT SMITH, AR

Name Credential NPI
DR. CLAIRE B PRICE M.D. 1841262730
DR. ROBERT B KNOX M.D. 1467424374
RANDEL L SAYLOR MD 1952373540
DR. BLAKE NORTON GEREN M.D. 1063448405
DR. CHRISTOPHER A GREER DO 1457379083
CHETAN RASIKLAL SONI MD 1598876526
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.