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NPI Code Detail

MEDICARE: EPIC OPTICAL, LLC

MEDICARE: EPIC OPTICAL, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist3000TN

General Provider Information

NPI Number : 1114351707
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPIC OPTICAL, LLC
Provider Business Mailing Address
First Line : 6117 OOLTEWAH GEORGETOWN RD STE 109
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-5611
Country : US
Telephone Number : 423-238-3290
Fax Number : 423-238-3439
Provider Business Practice Location Address
First Line : 6117 OOLTEWAH GEORGETOWN RD STE 109
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-5611
Country : US
Telephone Number : 423-238-3290
Fax Number : 423-238-3439
Authorized Official
Title or Position : OWNER/DOCTOR
Name : DR. JEREMIAH CHARLES DELL
Credential : OD
Telephone Number : 423-238-3290
Provider Enumeration Date : 08/30/2013
Last Update Date : 04/01/2025

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Directions to “EPIC OPTICAL, LLC ” Practice Location

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