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

David A Fullenkamp, OD

Individual provider Optometrist · NPI 1043297625

David A Fullenkamp, OD is an Optometry in Portland, Indiana. Qualified in 1985, 41 years ago. Practices with David A. Fullenkamp OD PC, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
41
Licensed in
IN
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1111 N Meridian St
Portland, IN 47371-1024
Phone: (260) 726-4210
Fax: (260) 726-9347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18002167A (IN)

Record details

NPI number1043297625
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESNovember 24, 2009
Mailing addressPo Box 1268, Portland, IN 47371-3268

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice David A. Fullenkamp O.D P.C — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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