Ennen Eye Center is a medicare enrolled "Ophthalmology" provider in Fort Smith, Arkansas. Their current practice location is
3312 S 70th St, Fort Smith, Arkansas. You can reach out to their office (for appointments etc.) via phone at
(479) 452-7800.
Ennen Eye Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ennen Eye Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003877150.
Healthcare Provider's Profile
| Full Name | Ennen Eye Center |
|---|
| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 3312 S 70th St, Fort Smith, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003877150
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 04/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 5395885644
- Enrollment ID: O20091216000550
Medical Identifiers
Medical identifiers for Ennen Eye Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003877150 | NPI | - | NPPES |
| 100177380B | Medicaid | OK | |
| 152215002 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ennen Eye Center acts as a billing entity for following providers:
| Provider Name | Adam M Schluterman |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1316102437
PECOS PAC ID: 8628121688
Enrollment ID: I20090810000035 |
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| Provider Name | Parker Edwards Pratt |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1154807162
PECOS PAC ID: 0244588416
Enrollment ID: I20180803000967 |
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| Provider Name | Christopher Joel Rodriguez |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1942573639
PECOS PAC ID: 1759655400
Enrollment ID: I20200521001436 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ennen Eye Center is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ennen Eye Center
3312 S 70th St,
Fort Smith, AR 72903-5052
Ph: (479) 452-7800 | Ennen Eye Center
3312 S 70th St,
Fort Smith, AR 72903-5052
Ph: (479) 452-7800 |
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