Jack Blicher Vontillius (NPI# 1194906883, PAC ID# 9931289535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1194906883 |
| PAC ID by PECOS | 9931289535 |
| Professional Enrollment ID | I20090624000305 |
| Full Name | Jack Blicher Vontillius |
| Organization Legal Name | COMPLETE EYE CARE PC |
| Address |
9453 Dayton Pike Soddy Daisy TN 37379-4751 |
| Phone Number | 4233328222 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2003 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8426064924 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9453 Dayton Pike, Soddy Daisy, TN 37379-4751 | 4233328222 | COMPLETE EYE CARE PC |
| Organization Legal Name | COMPLETE EYE CARE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William C. Whitmire | Ophthalmology | Complete Eye Care PC | 9453 Dayton Pike, Soddy Daisy, TN 37379-4751 |
| John D Bonner | Ophthalmology | Complete Eye Care PC | 7794 Rhea County Hwy, Suite 104, Dayton, TN 37321-5981 |
| Street Address |
9453 DAYTON PIKE |
| City | SODDY DAISY |
| State | TN |
| Zip | 37379-4751 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William C. Whitmire | Ophthalmology | Complete Eye Care PC | 9453 Dayton Pike, Soddy Daisy, TN 37379-4751 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Paul Gamache | Chiropractic | 8301 Dayton Pike, Soddy Daisy, TN 37379-4202 | |
| Casandra L Cansler | Internal Medicine | 8804 Dayton Pike, H, Soddy Daisy, TN 37379-4306 | |
| Margaret Y Huskey | Nurse Practitioner | Doctors Home Visits Inc | 8967 Dayton Pike, Soddy Daisy, TN 37379-4311 |
| Sonia S Bible | Nurse Practitioner | Doctors Home Visits Inc | 8967 Dayton Pike, Soddy Daisy, TN 37379-4311 |
| Janice A Burgess | Nurse Practitioner | Doctors Home Visits Inc | 8967 Dayton Pike, Soddy Daisy, TN 37379-4311 |
| Donald K Zeigler | Family Medicine | Doctors Home Visits Inc | 8967 Dayton Pike, Soddy Daisy, TN 37379-4311 |
| Bonnie Lyn Freeland | Nurse Practitioner | Doctors Home Visits of Southeast Tennessee, PC | 8967 Dayton Pike, Soddy Daisy, TN 37379-4311 |
| Bradley Andrew Shaffer | Optometry | Bradley A. Shaffer, O.d., P.C. | 106 C Karen Dr, Soddy Daisy, TN 37379-4337 |
| Yuri Sawa | Family Medicine | Chattanooga Hamilton County Hospital Authority | 9448 Dayton Pike, Soddy Daisy, TN 37379-4750 |
| Jessica L Roden | Physician Assistant | En LLC | 9448 Dayton Pike, Soddy Daisy, TN 37379-4750 |
| Find all physicians in zip 37379 | |||
| City | SODDY DAISY |
| Zip Code | 37379 |
| Specialty | OPTOMETRY |
| City + Specialty | SODDY DAISY + OPTOMETRY |
Please comment or provide details below to improve the information on Jack Blicher Vontillius.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.