# FLORIDA OPTICAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053418186
- **Authorized official:** DR. JOHN K FUSSELMAN O.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (407) 862-7699

## Contact information

- **Practice address:** 1011 W VINE ST, KISSIMMEE, FL 34741-4166
- **Practice address phone:** (407) 862-7699
- **Practice address fax:** (407) 862-9672
- **Mailing address:** 1011 W VINE ST, KISSIMMEE, FL 34741-4166
- **Mailing address phone:** (407) 862-7699
- **Mailing address fax:** (407) 862-9672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1993 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020