Gary L Vines, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0DT1895 Issued in TN

Practice address

333 E Harper Ave
Maryville, TN 37804-5724

Phone

(865) 982-6110

Fax

(865) 977-7243

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Envision Family Eyecare, PLLCGroup PAC ID 5294989513, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Envision Family Eyecare, PLLC

  • Optometrist
  • Maryville, TN
  • NPI 1043550916
  Medicare reassignment Care Compare group NPD Authorized official
• Envision Family Eye Care, PLLC

  • Optometrist
  • Maryville, TN
  • NPI 1932396371
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1790877975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E HARPER AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045724",
            "telephone_number": "865-982-6110",
            "fax_number": "865-977-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E HARPER AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045724",
            "telephone_number": "865-982-6110",
            "fax_number": "865-977-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0DT1895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Vagnier, LCSW
• Christina Marie Valentin, APN
• Tabitha Ann Vanvranken, LMSW
• Jennifer Willene Venuk, NP
• Rosalia Vidro
• James H Vinson, MD
• Danielle Stephanie Vittatoe, FNP-BC
• Donna Voica, APN
• Kaitlyn Voss
• Emily Waggoner

• Optometrist in Maryville, TN
• Providers in Maryville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.