David A. Fullenkamp, O.d., P.c.

NPI #1346479284 in Portland, Indiana

Provider Information

NPI Number: 1346479284
Entity Type: Organization
Organization Name: David A. Fullenkamp, O.d., P.c.
Primary Specialty: Optometrist
Enumeration Date: Jul 14, 2009
Last Updated: May 13, 2010

Practice Location

Address: 1111 N MERIDIAN ST
City: Portland
State: Indiana
ZIP Code: 47371-1024
Phone: (260) 726-5161

Authorized Official

Name: DR. DAVID A. FULLENKAMP, O.D.
Title: PRESIDENT
Phone: (260) 726-5161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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David A Fullenkamp, O.D.	Optometrist	Portland	AI Deep Dive
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