John K Fusselman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1993 Issued in FL

Practice address

3281 Bayou Sound
Longboat Key, FL 34228-3009

Phone

(407) 620-5356

NPI assigned

Sep 20, 2006

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health of South Florida Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1336152347
  Medicare reassignment NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment NPD
• Heart of Florida Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1710923727
  Medicare reassignment NPD
• Jessie Trice Community Health System, Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1689605362
  Medicare reassignment NPD
• Miami Beach Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Miami Beach, FL
  • NPI 1063411874
  Medicare reassignment NPD
• Myeyedr Optometry of Florida, LLC

  dba MyEyeDr.

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment NPD
• Primary Care Medical Services of Poinciana Inc

  dba Osceola Community Health Services at Fortune Rd

  • Federally Qualified Health Center (FQHC)
  • Kissimmee, FL
  • NPI 1376093609
  Medicare reassignment NPD
• Southeast Eye Institute, PA

  dba Eye Associates of Pinellas

  • Ophthalmology Physician
  • Pinellas Park, FL
  • NPI 1073625331

  Optometrist

  Medicare reassignment NPD
• Florida Optical Inc.

  • Optometrist
  • Kissimmee, FL
  • NPI 1053418186
  NPD (past) Authorized official
• Community Health of South Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Key Largo, FL
  • NPI 1417704198
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Heart of Florida Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Reddick, FL
  • NPI 1235533845
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1083711196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 BAYOU SOUND",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342283009",
            "telephone_number": "407-620-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 BAYOU SOUND",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342283009",
            "telephone_number": "407-620-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSSELMAN",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPC1993",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fitness Quest - Venice LLC
• Fitness Quest -LBK, LLC
• Deborah Lee Flanigan
• Janis Renee Frawley, M.S., CCC-SLP
• Sheri Friedrich
• Gatordds PA (Longboat Key Dental)
• Philip M Gelber, MD
• Grecia Paola Gines Rivera
• GPS II
• Richard A Green, PT

• Optometrist in Longboat Key, FL
• Providers in Longboat Key, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.