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DAVID A. FULLENKAMP, O.D., P.C.
NPI 1346479284
Optometrist in Portland, IN

Active since July 14, 2009
1111 N MERIDIAN ST, PORTLAND, IN 47371(260) 726-5161 Get Directions Write a Review

NPPES record last updated: May 13, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

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

DAVID A. FULLENKAMP, O.D., P.C. (NPI 1346479284) is a healthcare organization registered as an optometrist in Portland, Indiana and active in the NPI registry since July 2009. The organization lists David A. Fullenkamp, President, as its authorized official.

NPPES Registry Identity

NPI1346479284
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDAVID A. FULLENKAMP, O.D., P.C.
Location Address1111 N MERIDIAN STPortland, IN 47371-1024
Mailing Address1111 N Meridian St, P.o. Box 1268Portland, IN 47371-1024 · (260) 726-5161
Phone(260) 726-5161
Organization SubpartNo
Authorized OfficialDavid A. FullenkampPresident · (260) 726-5161
Enumeration DateJuly 14, 2009
Last NPPES UpdateMay 13, 2010
✔ NPI 1346479284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18002167A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedEyewear SupplierTaxonomy 332H00000X · License 18002167A (IN)
1111 N MERIDIAN ST, Portland, IN 47371
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Other Identifiers 4

Medicaid100424160AIN
Medicare PIN263650
Medicare NSC0207200002
Medicare UPINT69244IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David A. Fullenkamp, O.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to David A. Fullenkamp, O.D., P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Abby Small, OD
Optometry
NPI 1457975484
1111 N MERIDIAN ST
Portland, IN 47371
(260) 726-4210
✔ PECOS✔ Accepts Medicare1.7 mi
David Fullenkamp, O.D.
Optometry
NPI 1043297625
1111 N MERIDIAN ST
Portland, IN 47371
(260) 726-4210
✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, O.D., P.C.'s NPI number?

The NPI number for David A. Fullenkamp, O.D., P.C. is 1346479284. It was assigned to this organization in the NPPES registry on July 14, 2009.

Where is David A. Fullenkamp, O.D., P.C. located?

David A. Fullenkamp, O.D., P.C. is located at 1111 N Meridian St, Portland, IN 47371. The listed phone number is (260) 726-5161.

What is David A. Fullenkamp, O.D., P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David A. Fullenkamp, O.D., P.C. enrolled in Medicare?

Yes. David A. Fullenkamp, O.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David A. Fullenkamp, O.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to David A. Fullenkamp, O.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does David A. Fullenkamp, O.D., P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee and 1 other insurer list David A. Fullenkamp, O.D., P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David A. Fullenkamp, O.D., P.C. was last updated on May 13, 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.