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DAVID A. FULLENKAMP,OD, PC
NPI 1235457862
Eyewear Supplier in Portland, IN

Active since May 06, 2010
1111 N MERIDIAN ST, PORTLAND, IN 47371(260) 726-4210(260) 726-9347 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David A. Fullenkamp,od, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID A. FULLENKAMP,OD, PC (NPI 1235457862) is a healthcare organization registered as an eyewear supplier in Portland, Indiana and active in the NPI registry since May 2010. The organization lists David A. Fullenkamp, President, as its authorized official.

NPPES Registry Identity

NPI1235457862
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDAVID A. FULLENKAMP,OD, PC
Location Address1111 N MERIDIAN STPortland, IN 47371-1024
Mailing Address1111 N Meridian St, P.o. Box 1268Portland, IN 47371-1024 · (260) 726-4210 · Fax (260) 726-9347
Phone(260) 726-4210
Fax(260) 726-9347
Organization SubpartNo
Authorized OfficialDavid A. FullenkampPresident · (260) 726-4210
Enumeration DateMay 6, 2010
✔ NPI 1235457862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in IN · 18002167A
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
1111 N MERIDIAN ST, Portland, IN 47371
Open in Google Maps ↗

Other Identifiers 4

Medicaid100424160AIN
Medicare PIN263650
Other0207200002IN · Ptan
Medicare UPINT69244IN

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories David A. Fullenkamp, O.D., P.C. carries, from the Medicare DMEPOS supplier directory.

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

DMEPOS supplier · Portland, IN
✔

Accepts Medicare assignment

David A. Fullenkamp, O.D., P.C. agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20547809
Medicare Participant SinceNovember 2, 2009
Supplier Location1111 N Meridian StPortland, IN 47371
Phone(260) 726-4210
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID A FULLENKAMP O.D.
Optometrist
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210
INDIANA VISION GROUP, LLC
Optometrist
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210
DAVID A. FULLENKAMP, O.D., P.C.
Optometrist
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-5161
DR. ABBY ELIZABETH SMALL OD
Optometrist
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210
THE EYE CENTER GROUP LLC
Durable Medical Equipment & Medical Supplies
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210
EYE CENTER GROUP, LLC
Optometrist
1111 N MERIDIAN ST
PORTLAND, IN 47371
Jay County (260) 726-4210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David A. Fullenkamp,od, PC's NPI number?

The NPI number for David A. Fullenkamp,od, PC is 1235457862. It was assigned to this organization in the NPPES registry on May 6, 2010.

Where is David A. Fullenkamp,od, PC located?

David A. Fullenkamp,od, PC is located at 1111 N Meridian St, Portland, IN 47371. The listed phone number is (260) 726-4210.

What is David A. Fullenkamp,od, PC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does David A. Fullenkamp,od, PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, David A. Fullenkamp, O.D., P.C. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for David A. Fullenkamp,od, PC was last updated on May 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.