David A. Fullenkamp, O.D., P.C.

LBN: David A. Fullenkamp, O.D., P.C.
David A. Fullenkamp, O.D., P.C. is an health care organization with primary practice located at 1111 N Meridian St , Portland IN 47371-1024. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. David A. Fullenkamp, O.D., P.C. can be contacted via phone (260) 726-5161, or through Fullenkamp, David A. via phone (260) 726-5161.

Contact Information

Primary practice address
1111 N Meridian St Portland IN 47371-1024
Phone: (260) 726-5161
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fullenkamp, David A. Doctor of Optometry (OD)
Phone: (260) 726-5161

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002167A Indiana
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 18002167A Indiana

Profile Details

NPI number 1346479284
LBN Legal business name David A. Fullenkamp, O.D., P.C.
DBA Doing business as
Authorized official Fullenkamp, David A. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2009
Last updated May 13th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346479284 NPPES
Indiana MEDICAID 100424160A

Popular Providers