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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

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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