DAVID FULLENKAMP, O.D.

Optometrist

Active Individual
NPI: 1043297625

Practice Address

1111 N MERIDIAN ST
Portland, IN 47371

Phone: (260) 726-4210

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 18002167A (IN)

Frequently Asked Questions

NPI 1043297625 is the National Provider Identifier for DAVID FULLENKAMP, O.D., a Optometrist provider located in Portland, IN. This NPI was enumerated on December 27, 2005.
DAVID FULLENKAMP, O.D. practices at 1111 N MERIDIAN ST, Portland, IN 47371.

Quick Facts

NPI
1043297625
Type
Individual
Enumerated
Dec 27, 2005
Last Updated
Nov 24, 2009

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