David A. Fullenkamp, OD, PC
David A. Fullenkamp, OD, PC is an Eyewear Supplier in Portland, Indiana. Licensed in Indiana. Registered with an NPI since 2010.
- Licensed in
- IN
- In the registry since
- 2010
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1111 N Meridian StPortland, IN 47371-1024
Phone: (260) 726-4210
Fax: (260) 726-9347
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence 18002167A (IN) |
|---|
Record details
| NPI number | 1235457862 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Fullenkamp — President · (260) 726-4210 |
| NPI enumerated | May 6, 2010 |
| Last updated in NPPES | May 6, 2010 |
| Mailing address | 1111 N Meridian St, P.O. Box 1268, Portland, IN 47371-1024 |