OrganizationActive
David A. Fullenkamp,od, PC
NPI 1235457862 · Eyewear Supplier · Portland, IN
David A. Fullenkamp,od, PC is a Eyewear Supplier organization in Portland, IN (NPI 1235457862).
Provider details
- NPI number
- 1235457862
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- David Fullenkamp, President(260) 726-4210
- License
- 18002167A (IN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 N Meridian St
Portland, IN 47371-1024
Phone: (260) 726-4210
Fax: (260) 726-9347
Street-level locationGet directions
Mailing address
1111 N Meridian St
Portland, IN 47371-1024
Registry dates
- Enumerated
- 2010-05-06
- Last updated
- 2010-05-06
Frequently asked questions
- What is David A. Fullenkamp,od, PC's NPI number?
- David A. Fullenkamp,od, PC's National Provider Identifier (NPI) is 1235457862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is David A. Fullenkamp,od, PC?
- David A. Fullenkamp,od, PC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is David A. Fullenkamp,od, PC located?
- David A. Fullenkamp,od, PC's practice location on file with NPPES is 1111 N Meridian St, Portland, IN 47371-1024.
- What is David A. Fullenkamp,od, PC's phone number?
- The practice phone number listed in the NPPES registry for David A. Fullenkamp,od, PC is (260) 726-4210.
- Who is the authorized official for David A. Fullenkamp,od, PC?
- The authorized official listed on David A. Fullenkamp,od, PC's NPPES record is David Fullenkamp, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is David A. Fullenkamp,od, PC's NPI active?
- Yes — David A. Fullenkamp,od, PC's NPI (1235457862) is active in the NPPES registry as of the last update on 2010-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.