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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Jack B Vontillius

O.D.

Optometrist

NPI: 1194906883Soddy Daisy, Tennessee, 37379(423) 332-8222Male

About Jack B Vontillius

Jack B Vontillius, O.D., is a male healthcare professional specializing in Optometrist, registered under National Provider Identifier (NPI) number 1194906883. Their primary practice is located at 9453 DAYTON PIKE, Soddy Daisy, Tennessee 37379.

Patients can reach the office at (423) 332-8222. Jack B Vontillius is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Jack B Vontillius received $75 in Medicare payments in 2018 across 4 claims. Jack B Vontillius has been NPI-registered since 2007.

Key Metrics

Medicare Payments

$74.64

Year 2018

Payment Count

4

Year 2018

Doctor Details

Identity & Credentials

NPI Number
1194906883
Entity Type
Individual
First Name
Jack
Last Name
Vontillius
Credential
O.D.
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
9453 DAYTON PIKE
City
Soddy Daisy
State
Tennessee
ZIP
37379-4751
Country
United States
Phone
(423) 332-8222
Fax
(423) 332-8278

Specialty & Taxonomy

Primary Specialty
Optometrist
Classification
Optometrist
Taxonomy Code
152W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
9453 DAYTON PIKE
City
SODDY DAISY
State
TN
ZIP
373794751

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Jack B Vontillius's NPI number?
Jack B Vontillius's National Provider Identifier (NPI) is 1194906883. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jack B Vontillius specialize in?
Jack B Vontillius specializes in Optometrist.
Where is Jack B Vontillius located?
Jack B Vontillius practices at 9453 DAYTON PIKE, Soddy Daisy, Tennessee 37379. You can reach them by phone at (423) 332-8222.
Does Jack B Vontillius accept Medicare?
Yes, Jack B Vontillius is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Jack B Vontillius offer telehealth or virtual visits?
Jack B Vontillius does not currently offer telehealth services. In-person visits are required at their practice location.
Can Jack B Vontillius prescribe medications?
Yes, Jack B Vontillius is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack B Vontillius is 1194906883.