Jack B Vontillius, O.D.

NPI #1194906883 in Soddy Daisy, Tennessee

Provider Information

NPI Number
1194906883
Entity Type
Individual
Name
Jack B Vontillius, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Nov 21, 2007
Last Updated
Jun 27, 2013

Practice Location

Address
9453 DAYTON PIKE
ZIP Code
37379-4751
Phone
(423) 332-8222

Specialties & Taxonomy Codes

Specialty
Optometrist

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