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FORT WALTON BEACH VISION CENTER LLC
NPI 1225706112
Optometrist in Fort Walton Beach, FL

Active since September 03, 2021
36 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548(850) 243-3111 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 28, 2026, Jul 5, 2022 (2 updates tracked since 2022).

About Fort Walton Beach Vision Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WALTON BEACH VISION CENTER LLC (NPI 1225706112), doing business as The Vision Hub At Fort Walton Beach, is a healthcare organization registered as an optometrist in Fort Walton Beach, Florida and active in the NPI registry since September 2021. The organization lists Kimberly Ann Sampson, Insurance/credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1225706112
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFORT WALTON BEACH VISION CENTER LLC
Location Address36 EGLIN PKWY NEFort Walton Beach, FL 32548-4915
Mailing Address36 Eglin Pkwy NeFort Walton Beach, FL 32548-4915 · (850) 243-3111 · Fax (850) 200-4373
Phone(850) 243-3111
Organization SubpartNo
Authorized OfficialKimberly Ann SampsonInsurance/credentialing Coordinator · (850) 206-1133
Enumeration DateSeptember 3, 2021
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1225706112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
36 EGLIN PKWY NE, Fort Walton Beach, FL 32548
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Other Names 1

Doing Business AsThe Vision Hub At Fort Walton Beach

Other Identifiers 2

Medicaid112470900FL
OtherWVMGVFL · Florida Blue

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR R KEITH AMIEL-OPTOMETRIST P A
Optometrist
36 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 243-3111
DR. STACEY LEE MCDONALD OD
Optometrist
36 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 243-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Walton Beach Vision Center LLC's NPI number?

The NPI number for Fort Walton Beach Vision Center LLC is 1225706112. It was assigned to this organization in the NPPES registry on September 3, 2021. The provider is doing business as The VIsion Hub at Fort Walton Beach.

Where is Fort Walton Beach Vision Center LLC located?

Fort Walton Beach Vision Center LLC is located at 36 Eglin Pkwy NE, Fort Walton Beach, FL 32548. The listed phone number is (850) 243-3111.

What is Fort Walton Beach Vision Center LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Fort Walton Beach Vision Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, BlueCross BlueShield of Tennessee and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Fort Walton Beach Vision Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Walton Beach Vision Center LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.