Eyecare of Central Florida

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 1993 Issued in FL

Legal business name

EYECARE OF CENTRAL FLORIDA

Practice address

12187 S Orange Blossom TRL
Orlando, FL 32837-6502

Phone

(407) 620-4632

Fax

(407) 629-4632

NPI assigned

Mar 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John Fusselman, O.D.

Title

Pres

Phone

(407) 620-4632

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1801110770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SHEPHERD AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893973",
            "telephone_number": "407-620-4632",
            "fax_number": "407-629-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12187 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376502",
            "telephone_number": "407-620-4632",
            "fax_number": "407-629-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "FUSSELMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "407-620-4632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyecare Professionals of Orlando
• Eyeglass World #95
• Eyeglasses Etc
• Eyeshoppe of Orlando, LLC
• Courtney Eyman

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.