Organization
EYECARE OF CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FUSSELMAN O.D. (PRES)
(407) 620-4632
Entity
Organization
Contact information
Practice address
12187 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6502
(407) 620-4632
(407) 629-4632
Mailing address
540 SHEPHERD AVE, WINTER PARK, FL 32789-3973
(407) 620-4632
(407) 629-4632
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1993
FL
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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