NPIMap

Organization Active NPI

Freeport Vision Center LLC

Doing business as The Vision Hub at Freeport

  • Optometrist
  • Freeport, FL
National Provider Identifier
1417625310
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FREEPORT VISION CENTER LLC
Doing business as
The Vision Hub at Freeport
Practice address
271 State Highway 20 E
Freeport, FL 32439-3900
Phone
(850) 880-6778
NPI assigned
Sep 3, 2021
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Ann Sampson
Title
Insurance/Credentialing Coordinator
Phone
(850) 206-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

271 State Highway 20 E
Freeport, FL 32439-3900

Mailing address

271 State Highway 20 E Ste C
Freeport, FL 32439-3901
Phone (850) 880-6778

Other names 1

  • The Vision Hub at Freeport Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210721000985 FL Part B Supplier - Clinic/Group Practice 7214330786 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Defuniak Springs, FL
O20220204001565 FL Part B Supplier - Clinic/Group Practice 8426441924 Receives reassigned benefits from 8 practitioners
Practice locations: Freeport, FL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

271 State Highway 20 E
Ste C
Freeport, FL 32439
Phone (850) 880-6778

113 N Palafox St
Pensacola, FL 32502
Phone (850) 377-5007

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1417625310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 STATE HIGHWAY 20 E STE C",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324393901",
            "telephone_number": "850-880-6778",
            "fax_number": "850-200-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 STATE HIGHWAY 20 E",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324393900",
            "telephone_number": "850-880-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "850-206-1133"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vision Hub at Freeport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.