Jack B Vontillius is a Soddy Daisy, Tennessee based male Optometrist who is specialized in Optometry. Active license number of Jack B Vontillius is OD0000002781 for Optometry in Tennessee. Jack B Vontillius 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Jack B Vontillius speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1194906883
NPI Enumeration Date:
21 Nov, 2007
NPI Last Update On:
27 Jun, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack B Vontillius are as mentioned below.
License Number
Specialization
State
Status
OD0000002781
Optometry
Tennessee
Primary
TUV007223
Optometry
New York
Secondary
OP002631
Optometry
Georgia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack B Vontillius such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1515043
Medicaid
Tennessee
4230667
Other
Tennessee
BCBS OF TN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9453 Dayton Pike, Soddy Daisy, Tennessee
Zip:
37379-4751
Phone Number:
423-332-8222
Fax Number:
423-332-8278
Patients can reach Jack B Vontillius at 9453 Dayton Pike, Soddy Daisy, Tennessee or can call to book an appointment on 423-332-8222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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