| Portland Eye Center | |
|
1111 N Meridian St, Portland, IN 47371-1024 | |
| (260) 726-4210 | |
| (260) 726-9347 |
| Full Name | Portland Eye Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1111 N Meridian St, Portland, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861483612 | NPI | - | NPPES |
| 2085863 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Eye Center Po Box 457, Richmond, IN 47375-0457 Ph: (765) 966-1945 | Portland Eye Center 1111 N Meridian St, Portland, IN 47371-1024 Ph: (260) 726-4210 |
David A Fullenkamp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1111 N Meridian St, Portland, IN 47371 Phone: 260-726-4210 Fax: 260-726-9347 | |
David A. Fullenkamp, O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1111 N Meridian St, Portland, IN 47371 Phone: 260-726-5161 | |
Dr. Abby Elizabeth Small, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1111 N Meridian St, Portland, IN 47371 Phone: 260-726-4210 Fax: 260-726-9347 |