GARY L VINES (NPI# 1790877975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790877975 |
| Entity Type | Individual |
| Full Name | GARY L VINES |
| Credential | OD |
| Practice Address |
333 E Harper Ave Maryville TN 37804-5724 |
| Practice Telephone | 8659826110 |
| Practice Fax Number | 8659777243 |
| Mailing Telephone | 8659826110 |
| Mailing Fax Number | 8659777243 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0DT1895 | TN | Eye and Vision Services Providers |
| Street Address |
333 E HARPER AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043550916 | Envision Family Eyecare, Pllc | Optometrist | 333 E Harper Ave, Maryville, TN 37804-5724 | 2013-02-28 |
| 1548585094 | Tennessee Therapy Solutions, Inc | Home Health | 333 E Harper Ave, Maryville, TN 37804-5724 | 2010-03-27 |
| 1871817544 | Elizabeth A Cole | Speech-Language Pathologist | 333 E Harper Ave, Maryville, TN 37804-5724 | 2010-03-24 |
| 1932396371 | Envision Family Eye Care, Pllc | Optometrist | 333 E Harper Ave, Maryville, TN 37804-5724 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1942585005 | Chantel Lashaun Galipeau | Optometrist | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 | 2011-10-19 |
| 1285860437 | Billingsley Eye Care Corporation | Optometrist | 845 Turner St, Maryville, TN 37801-3595 | 2009-06-02 |
| 1932348828 | Stephen K Sutton | Optometrist | 105 Lucy Ln, Maryville, TN 37803-8875 | 2009-02-17 |
| 1063651388 | Dr Michael T Kolarik Od | Optometrist | 286 Cherokee Professional Park, Maryville, TN 37804-5153 | 2009-02-10 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1366510513 | Janet T. Parker | Optometrist | 1735 W Broadway Ave, Maryville, TN 37801-5509 | 2006-12-04 |
| 1851483036 | Clinton L Maples | Optometrist | 901 W Lamar Alexander Pkwy, Maryville, TN 37801 | 2006-09-28 |
| 1043248735 | Karin Rodriguez Moore | Optometrist | 2410 Us Highway 411 S, Maryville, TN 37801-8629 | 2006-06-29 |
| 1346211885 | Harold L Poynter Od Hl Poynter Od Paul R Poynter Od Optometry Inc | Optometrist | 503 S Main St, Maryville, MO 64468-2444 | 2006-02-01 |
| Find all providers in MARYVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.