GARY L VINES (OD) – Optometrist, NPI 1790877975

GARY L VINES (OD) is a healthcare provider. based in Maryville, Tennessee. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0DT1895 (TN). The NPI Number for GARY L VINES (OD) is 1790877975

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
GARY L VINES (OD)
NPI
1790877975
Phone
(865) 982-6110
Address
333 E HARPER AVE
Enumeration Date
28 September 2006
Last Update Date
30 November 2016

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
8659826110
Graduation Year
1998 (28 years ago)
PAC ID
2961605563
Group Practice PAC ID
5294989513
Professional Enrollment ID
I20101005000988
Address ID
TN378045724MA333XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

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Provider Addresses for GARY L VINES (OD)

  • 333, East Harper Avenue, Plainfield, Maryville, Blount County, Tennessee, 37804, United States

    MARYVILLE, TN 378045724

    Phone: (865) 982-6110

    Fax: (865) 977-7243

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $834.

Total Amount is formed as General ($834) + Research ($0) + Ownership ($0) = $834.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($284).

Total Amount

$834

General + Research + Ownership

Payments

23

Total payment records

General Amount

$834

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101005000988IOptometryTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens64012$0
92014Established patient complete exam of visual system300298$0
92012Established patient problem focused exam of visual system11086$0
92134Imaging of retina9166$0
99212Established patient office or other outpatient visit, 10-19 minutes7154$0
View full utilization report →

Insurance plans in this area (ZIP 37804)

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Provider's Procedures

GARY L VINES (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTN92012Eye and medical examination for diagnosis and treatment, established patient1817
OPTOMETRYTN92083Measurement of field of vision during daylight conditions2928
OPTOMETRYTN92134Diagnostic imaging of retina3026

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294989513View full group profile
NameSpecialtyState
O P T O M E T R YTN

Reviews

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Frequently asked questions

What identifier follows GARY L VINES (OD) across health systems?
The NPI 1790877975 uniquely identifies GARY L VINES (OD) in U.S. healthcare data.
Is GARY L VINES (OD)'s NPI status active today?
Active status means GARY L VINES (OD)'s NPI record is not deactivated in the public file.
How should patients interpret GARY L VINES (OD)'s specialty?
The extract shows Optometrist for GARY L VINES (OD). Clinical services aligned with this taxonomy classification.
Can patients visit GARY L VINES (OD) in Maryville, Tennessee?
For routing, start with Maryville, Tennessee for GARY L VINES (OD), then verify phone and hours locally.
Who maintains GARY L VINES (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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