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

DAVID A. FULLENKAMP, O.D., P.C.

Active Organization

DAVID A. FULLENKAMP, O.D., P.C. is a Optometrist organization located in PORTLAND, Indiana. NPI 1346479284 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PORTLAND, IN

Registration Details

NPI Number
1346479284
Provider Type
Organization
NPI Issued
Jul 14, 2009 (17.080843117081 yrs)
Last Updated
May 13, 2010
Licenses
18002167A (IN)
18002167A (IN)

Practice Information

Address
1111 N MERIDIAN ST
PORTLAND, IN, 473711024
Browse IN providers · Browse ZIP 47371
Phone
2607265161
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Organizations in PORTLAND, IN

Name NPI
EYE CENTER GROUP, LLC 1861483612
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.