Search Results
Last Update: Saturday, May 4, 2024 1:10 PM CDT
Next Update: Saturday, May 4, 2024 4:30 PM CDT
Return to Search Licensees page
|
ENNEN, RANDY MARK |
| Practice Address: |
3312 SOUTH 70TH STREET
FORT SMITH AR 72903
Address last updated on 12/8/2011 |
| Phone #: |
(479) 452-7800 |
| Fax #: |
(479) 452-9486 |
| County: |
NOT OKLAHOMA |
| License: |
16763 |
| Dated: |
1/12/1989 |
| Expires: |
1/1/2020 |
| License Type: |
Medical Doctor |
| Specialty: |
Ophthalmology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Washington Univ in St Louis Sch of Med, St Louis MO |
| Graduated: |
5 /
1984 |
| CME Year: |
2022 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF OPHTHALMOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
Champ VA
CIGNA HMO
CIGNA PPO
Dept of Rehabilitation Services (DRS)
HealthChoice
Oklahoma Health Network PPO
Preferred Community Choice
Railroad Medicare
SoonerCare HMO
SoonerCare PPO
Sparks Premiercare
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
Eastern Oklahoma Medical Center
Poteau, OK
Hospital(s) Not In Oklahoma
,
|
|
|
|
|
Return to Search Licensees page
