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
- City
- Soddy Daisy
- State
- Tennessee
- ZIP Code
- 37379-4751
- Phone
- (423) 332-8222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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| Provider Name | |
|---|---|
| DR. Brent B Fry, O.D. | |
| DR. Jason C Clopton, O.D. | |
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| DR. Daniel C Horton, OD |
Organizations
| Provider Name | |
|---|---|
| Bradley A. Shaffer, O.d., P.c. |
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