Organization Active NPI

Dr James R Mason Optometrist PLLC

  • Optometrist
  • Kings Mountain, NC
National Provider Identifier
1003347014
Registry record updated Apr 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR JAMES R MASON OPTOMETRIST PLLC
Practice address
316 W King St
Kings Mountain, NC 28086-3344
Phone
(704) 750-3653
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2020

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

Authorized official

Name
James Robert Mason, ODNPI 1942306998
Title
Practitioner/Owner
Phone
(704) 689-0370

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NC Primary

Addresses

Primary practice location

316 W King St
Kings Mountain, NC 28086-3344

Mailing address

316 W King St
Kings Mountain, NC 28086-3344
Phone (704) 750-3653

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170428000088 NC Part B Supplier - Clinic/Group Practice 3173800232 Receives reassigned benefits from 1 practitioner
Practice locations: Kings Mountain, NC

National Provider Directory

National Provider Directory

Locations

316 W King St
Kings Mtn, NC 28086
Phone (704) 750-3653

Practitioners & affiliated clinicians

Practitioners 2

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": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587254400000",
    "number": "1003347014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863344",
            "telephone_number": "704-750-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863344",
            "telephone_number": "704-750-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAMES R MASON OPTOMETRIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "704-689-0370",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; 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.