Fusion HD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2105 Issued in MN

Legal business name

FUSION HD

Practice address

3001 White Bear Ave N
Suite 1050
Maplewood, MN 55109-1215

Phone

(651) 770-3923

Fax

(651) 770-5316

NPI assigned

Jun 6, 2013

Last updated

Jun 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wendy Seyller Passmore, O.D.

Title

Ceo

Phone

(651) 249-6537

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1881032373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 WHITE BEAR AVE N",
            "address_2": "SUITE 1050",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091215",
            "telephone_number": "651-770-3923",
            "fax_number": "651-770-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 WHITE BEAR AVE N",
            "address_2": "SUITE 1050",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091215",
            "telephone_number": "651-770-3923",
            "fax_number": "651-770-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION HD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "PASSMORE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "SEYLLER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-249-6537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri L Friedrich, CNP
• Katelyn Ann Frierott, DDS
• Functional Integrated Therapy, LTD (Functional Kids Clinic)
• Ryan Kevin Funk, M.D.
• Clay Funkhouser, PHARM. D.
• Bethany Rose Gabor, MSSW, LGSW
• Gabriel Priority Care LLC
• Robert Adams Gaertner, M.D.
• John Frank Galatowitsch, MD
• Kevin Gale, MD

• Optometrist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.