Organization
JCPL, LLC
Active
Other names
Mass Ave Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE RICH OD (OWNER)
(317) 602-4810
Entity
Organization
Contact information
Practice address
751 MASSACHUSETTS AVE, INDIANAPOLIS, IN 46204
(317) 602-4810
Mailing address
751 MASSACHUSETTS AVE, INDIANAPOLIS, IN 46204
(317) 602-4810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003085A
IN
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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