Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID A FULLENKAMP, O.D.
ActiveDAVID A FULLENKAMP, O.D. is a Optometrist healthcare provider located in PORTLAND, Indiana. NPI 1043297625 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PORTLAND, IN
Registration Details
- NPI Number
- 1043297625
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2005 (20.61566199059 yrs)
- Last Updated
- Nov 24, 2009
- License
-
18002167A (IN)
Practice Information
- Address
-
1111 N MERIDIAN STPORTLAND, IN, 473711024Browse IN providers · Browse ZIP 47371
- Phone
- 2607264210
- Fax
- 2607269347
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PORTLAND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. ABBY ELIZABETH SMALL | OD | 1457975484 |
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.