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Organization
THE VISION HUB LLC
Active
Organization
THE VISION HUB LLC
Active
Other names
The Vision Hub at Defuniak Springs
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN SAMPSON (INSURANCE/CREDENTIALING COORDINATOR)
(850) 206-1133
Entity
Organization
Contact information
Practice address
770 US HIGHWAY 331 S STE 1, DEFUNIAK SPRINGS, FL 32435-3307
(850) 892-5514
(850) 892-0189
Mailing address
770 US HIGHWAY 331 S STE 1, DEFUNIAK SPRINGS, FL 32435-3307
(850) 892-5514
(850) 200-4373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111200300
—
FL
01
—
XB20D
BCBS
—
Enumeration date
05/18/2021
Last updated
05/28/2026
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