NPIMap

Organization Active NPI

Epic Optical, LLC

  • Optometrist
  • Ooltewah, TN
National Provider Identifier
1114351707
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3000 Issued in TN
Legal business name
EPIC OPTICAL, LLC
Practice address
6117 Ooltewah Georgetown Rd Ste 109
Ooltewah, TN 37363-5611
Phone
(423) 238-3290
Fax
(423) 238-3439
NPI assigned
Aug 30, 2013
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Dr. Jeremiah Charles Dell, ODNPI 1346528379
Title
Owner/Doctor
Phone
(423) 238-3290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3000 TN Primary

Addresses

Primary practice location

6117 Ooltewah Georgetown Rd Ste 109
Ooltewah, TN 37363-5611

Mailing address

6117 Ooltewah Georgetown Rd Ste 109
Ooltewah, TN 37363-5611
Phone (423) 238-3290

Other practice location 1

801 Chestnut St
Chattanooga, TN 37402-2511
Phone (423) 265-2365

Other practice location 2

8151 Hixson Pike
Hixson, TN 37343-1897
Phone (423) 847-0498

Other names 1

  • Epic Optique, LLC Other name

National Provider Directory

National Provider Directory

Locations

189 W 8th St
Chattanooga, TN 37402
Phone (423) 265-2365

801 Chestnut St
Chattanooga, TN 37402
Phone (423) 265-2365

8151 Hixson Pike
Hixson, TN 37343
Phone (423) 847-0498

6117 Ooltewah Georgetown Rd
Ste 109
Ooltewah, TN 37363
Phone (423) 238-3290

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1114351707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 OOLTEWAH GEORGETOWN RD STE 109",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635611",
            "telephone_number": "423-238-3290",
            "fax_number": "423-238-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 OOLTEWAH GEORGETOWN RD STE 109",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635611",
            "telephone_number": "423-238-3290",
            "fax_number": "423-238-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374022511",
            "country_code": "US",
            "telephone_number": "423-265-2365",
            "fax_number": "423-756-5933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8151 Hixson Pike",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373431897",
            "country_code": "US",
            "telephone_number": "423-847-0498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPIC OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "DELL",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "423-238-3290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Optique, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.