Jack Vontillius, O.D.
NPI 1194906883 · Optometrist · Soddy Daisy, TN
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Vontillius, O.D. is a Optometrist provider in Soddy Daisy, TN (NPI 1194906883).
Provider details
- NPI number
- 1194906883
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- TUV007223 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-21
- Last updated
- 2013-06-27
Frequently asked questions
- What is Jack Vontillius's NPI number?
- Jack Vontillius's National Provider Identifier (NPI) is 1194906883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Vontillius's specialty?
- Jack Vontillius is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jack Vontillius located?
- Jack Vontillius's practice location on file with NPPES is 9453 Dayton Pike, Soddy Daisy, TN 37379-4751.
- What is Jack Vontillius's phone number?
- The practice phone number listed in the NPPES registry for Jack Vontillius is (423) 332-8222.
- Does Jack Vontillius accept Medicare?
- Jack Vontillius is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Vontillius's NPI active?
- Yes — Jack Vontillius's NPI (1194906883) is active in the NPPES registry as of the last update on 2013-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.