Jack Vontillius, O.D

NPI 1194906883 · on the registry since 2007 · sole proprietor

Practice

Address: 9453 Dayton Pike
Soddy Daisy, TN 37379
Phone: (423) 332-8222
Fax: (423) 332-8278
Organisation at this address: Vision Plus Optical
Complete Eye Care, Pc
Southeast Eye Specialists, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Optometrist
152W00000X
Also registered as: Optometrist
Optometrist
Licence states on file: NY, TN, GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee