Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack B Vontillius, OD

Individual provider Optometrist · NPI 1194906883

Jack B Vontillius, OD is an Optometrist in Soddy Daisy, Tennessee. Practices as a sole proprietor. Licensed in Georgia, New York and Tennessee.

Licensed in
GA, NY, TN
In the registry since
2007
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

9453 Dayton Pike
Soddy Daisy, TN 37379-4751
Phone: (423) 332-8222
Fax: (423) 332-8278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD0000002781 (TN)
Optometrist Taxonomy 152W00000X · Licence TUV007223 (NY)
Optometrist Taxonomy 152W00000X · Licence OP002631 (GA)

Record details

NPI number1194906883
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 21, 2007
Last updated in NPPESJune 27, 2013
Mailing address9453 Dayton Pike, Soddy Daisy, TN 37379-4751

Other providers in Soddy Daisy