NPIMap

Organization Active NPI

JCPL, LLC

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1750820643
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003085A Issued in IN
Legal business name
JCPL, LLC
Practice address
751 Massachusetts Ave
Indianapolis, IN 46204
Phone
(317) 602-4810
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
David Lee Rich, OD
Title
Owner
Phone
(317) 602-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003085A IN Primary

Addresses

Primary practice location

751 Massachusetts Ave
Indianapolis, IN 46204

Mailing address

751 Massachusetts Ave
Indianapolis, IN 46204
Phone (317) 602-4810

Other names 1

  • Mass Ave Eyewear Doing business as

National Provider Directory

National Provider Directory

Locations

751 Massachusetts Ave
Indianapolis, IN 46204
Phone (317) 602-4810

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1750820643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 MASSACHUSETTS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46204",
            "telephone_number": "317-602-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 MASSACHUSETTS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46204",
            "telephone_number": "317-602-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCPL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-602-4810",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003085A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mass Ave Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.