| NPI | 1750820643 |
|---|---|
| Doing Business As | MASS AVE EYEWEAR |
| Entity Type | Organization |
| Authorized Contact | DAVID LEE RICH Owner 317-602-4810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003085A) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |