Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jack B Vontillius, O.D.

Optometrist in Soddy Daisy, TN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194906883

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Registry record

Entity type Individual (Type 1)

Name Jack B Vontillius

Credential O.D.

Sex Male

Practice address Soddy Daisy, TN, 37379

Phone (423) 332-8222

Fax (423) 332-8278

Enumeration date Nov 21, 2007

Last updated in NPPES Jun 27, 2013

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License TUV007223 (NY) Secondary

152W00000X Optometrist Eye and Vision Services Providers · License OD0000002781 (TN) Primary

152W00000X Optometrist Eye and Vision Services Providers · License OP002631 (GA) Secondary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
1515043	Medicaid	TN	-
4230667	Other	TN	BCBS OF TN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1194906883 active?

Yes, as of the latest NPPES snapshot, NPI 1194906883 is active (record last updated 2013-06-27).

How do I verify Jack Vontillius's NPI record?

Cross-check NPI 1194906883 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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John Bonner Ophthalmology Physician · Soddy Daisy, TN NPI 1831151216 Vision Plus Optical Eyewear Supplier · Soddy Daisy, TN NPI 1295854511 Complete Eye Care, PC Ophthalmology Physician · Soddy Daisy, TN NPI 1578773263 William Whitmire Ophthalmology Physician · Soddy Daisy, TN NPI 1932492303 Southeast Eye Specialists, Pllc Ophthalmology Physician · Soddy Daisy, TN NPI 1750981189

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-27.