| NPI | 1003877150 |
|---|---|
| Doing Business As | ENNEN EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | RANDY M. ENNEN President 479-452-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2012-04-12 |