GARY L VINES OD
NPI 1790877975
Optometrist in Maryville, TN
About Gary L Vines Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY L VINES OD (NPI 1790877975) is an individual optometrist in Maryville, Tennessee, licensed in Tennessee (0DT1895) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gary L Vines Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Gary Vines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maryville, TN 37804
- Reassigned Medicare billing, Tennessee enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gary Vines's NPI number?
The NPI number for Gary Vines is 1790877975. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Gary Vines located?
Gary Vines practices at 333 E Harper Ave, Maryville, TN 37804. The listed phone number is (865) 982-6110.
What is Gary Vines's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Gary Vines enrolled in Medicare?
Yes. Gary Vines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Gary Vines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Vines reassigns Medicare benefits to Envision Family Eyecare, PLLC (Maryville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Vines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Vines accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Gary Vines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gary Vines was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gary L Vines, OD · NPI 1790877975
Optometrist provider in Maryville, Tennessee. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1790877975 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 0DT1895 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 E HARPER AVE, Maryville, TN 37804-5724
- **Phone:** (865) 982-6110 · **Fax:** (865) 977-7243
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Envision Family Eyecare, PLLC (NPI 1043550916, Maryville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Alabama Birmingham - School Of Optometry, class of 1998
## Record status
- **NPPES last updated:** November 30, 2016
- **Other identifiers:** Medicare ID-Type Unspecified 3943757; Medicare UPIN U71622; Medicare NSC 5820190001 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1790877975) · Data from the CMS NPPES public registry.