Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David A. Fullenkamp, OD, PC

Organization Optometrist · NPI 1346479284

David A. Fullenkamp, OD, PC is an Optometrist in Portland, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in
IN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 N Meridian St
Portland, IN 47371-1024
Phone: (260) 726-5161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18002167A (IN)
Eyewear Supplier Taxonomy 332H00000X · Licence 18002167A (IN)

Record details

NPI number1346479284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Fullenkamp — President · (260) 726-5161
NPI enumeratedJuly 14, 2009
Last updated in NPPESMay 13, 2010
Mailing address1111 N Meridian St, P.O. Box 1268, Portland, IN 47371-1024

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