Fort Walton Beach Vision Center LLC
NPI 1225706112 · Optometrist · Fort Walton Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fort Walton Beach Vision Center LLC is a Optometrist organization in Fort Walton Beach, FL (NPI 1225706112).
Provider details
- NPI number
- 1225706112
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kimberly Sampson, Insurance/Credentialing Coordinator(850) 206-1133
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Vision Hub at Fort Walton Beach
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Frequently asked questions
- What is Fort Walton Beach Vision Center LLC's NPI number?
- Fort Walton Beach Vision Center LLC's National Provider Identifier (NPI) is 1225706112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Walton Beach Vision Center LLC?
- Fort Walton Beach Vision Center LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Fort Walton Beach Vision Center LLC located?
- Fort Walton Beach Vision Center LLC's practice location on file with NPPES is 36 Eglin Pkwy Ne, Fort Walton Beach, FL 32548-4915.
- What is Fort Walton Beach Vision Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Fort Walton Beach Vision Center LLC is (850) 243-3111.
- Does Fort Walton Beach Vision Center LLC accept Medicare?
- Fort Walton Beach Vision Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fort Walton Beach Vision Center LLC?
- The authorized official listed on Fort Walton Beach Vision Center LLC's NPPES record is Kimberly Sampson, Insurance/Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Walton Beach Vision Center LLC's NPI active?
- Yes — Fort Walton Beach Vision Center LLC's NPI (1225706112) is active in the NPPES registry as of the last update on 2026-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.