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Organization
FORT WALTON BEACH VISION CENTER LLC
Active
Organization
FORT WALTON BEACH VISION CENTER LLC
Active
Other names
The VIsion Hub at Fort Walton Beach
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN SAMPSON (INSURANCE/CREDENTIALING COORDINATOR)
(850) 206-1133
Entity
Organization
Contact information
Practice address
36 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548-4915
(850) 243-3111
Mailing address
36 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548-4915
(850) 243-3111
(850) 200-4373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112470900
—
FL
01
—
WVMGV
FLORIDA BLUE
FL
Enumeration date
09/03/2021
Last updated
05/28/2026
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