Organization Active NPI

Epic Optique LLC

  • Optometrist
  • Ooltewah, TN
National Provider Identifier
1720324965
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EPIC OPTIQUE LLC
Practice address
6117 Ooltewah Georgetown Rd Ste 109
Ooltewah, TN 37363-5611
Phone
(423) 238-3290
Fax
(423) 238-3439
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Jeremiah Charles Dell, O.D.NPI 1346528379
Title
Owner
Phone
(423) 238-3290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

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

1814 McCallie Ave
Chattanooga, TN 37404-3025
Phone (423) 265-2365

Other practice location 2

8151 Hixson Pike
Hixson, TN 37343-1551
Phone (423) 847-0498

Other names 3

  • Epic Optical Doing business as
  • Epic Optical, LLC Doing business as
  • Epic Optique Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000142 TN Part B Supplier - Clinic/Group Practice 0547456592 Receives reassigned benefits from 5 practitioners
Practice locations: Ooltewah, TN

National Provider Directory

National Provider Directory

Locations

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

5906 Main St
Ste 116
Ooltewah, TN 37363

5906 Main St
#116
Ooltewah, TN 37363
Phone (423) 238-3290

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1720324965",
    "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": "1814 McCallie Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374043025",
            "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": "373431551",
            "country_code": "US",
            "telephone_number": "423-847-0498",
            "fax_number": "423-847-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPIC OPTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "DELL",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-238-3290",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Epic Optical, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Epic Optique",
            "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 Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.