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

DAVID A. FULLENKAMP,OD, PC

Active Organization

DAVID A. FULLENKAMP,OD, PC is a Eyewear Supplier organization located in PORTLAND, Indiana. NPI 1235457862 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · PORTLAND, IN

Registration Details

NPI Number
1235457862
Provider Type
Organization
NPI Issued
May 6, 2010 (16.30710357989 yrs)
Last Updated
May 6, 2010
License
18002167A (IN)

Practice Information

Address
1111 N MERIDIAN ST
PORTLAND, IN, 473711024
Browse IN providers · Browse ZIP 47371
Phone
2607264210
Fax
2607269347
Primary Specialty
Eyewear Supplier
332H00000X

Other Eyewear Supplier Organizations in PORTLAND, IN

Name NPI
WAL-MART STORES EAST, LP 1861574006
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.