Individual provider Active NPI

John Thomas Gingrich, O.D.

  • Optometrist
  • Mountain Home, TN
National Provider Identifier
1902858889
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2328 Issued in TN
Practice address
James H. Quillen Vamc
Eye Clinic 112-E
Mountain Home, TN 37684
Phone
(423) 926-1171
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2328 TN Primary

Addresses

Primary practice location

James H. Quillen Vamc
Eye Clinic 112-E
Mountain Home, TN 37684

Mailing address

2909 Muskett Dr
Johnson City, TN 37604-6390
Phone (423) 434-0162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101123000515 TN Practitioner - Optometry 1759577232 Reassigns benefits to 2 organizations
I20161216002184 MT Practitioner - Optometry 1759577232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

316 S 24TH St W
Suite B101
Billings, MT 59102-5605
Phone (406) 652-7297

Merit-based Incentive Payment System (MIPS)

Final score
72.65 of 100Reported as group
Quality
45.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
552MTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Aug 16, 2023 Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Envision Professional Group, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients

Locations

905 S 24th St W
Billings, MT 59102
Phone (406) 652-6715

316 S 24th St W
Ste B101
Billings, MT 59102
Phone (406) 652-7297

321 Midway Medical Park
Ste 2
Bristol, TN 37620
Phone (276) 783-5157

2549 W State St
Bristol, TN 37620

554 Pinnacle Pkwy
Ste 701
Bristol, TN 37620
Phone (423) 764-4017

122 Old Gray Station Rd
Johnson City, TN 37615
Phone (276) 783-5157

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

1020 Terrace Dr
Ste 100
Marion, VA 24354
Phone (276) 783-5157

Interoperability endpoints

  • Direct secure messaging: drjg@envisioneyeva.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902858889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 MUSKETT DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046390",
            "telephone_number": "423-434-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES H. QUILLEN VAMC",
            "address_2": "EYE CLINIC 112-E",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRICH",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, TN

Sources for this page

Verify at the official NPI Registry.