Mason & Mincey OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1529 Issued in NC

Legal business name

MASON & MINCEY OD PA

Practice address

8700 Pineville Matthews Rd
Ste 540
Charlotte, NC 28226-4750

Phone

(704) 541-8448

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Scott Mincey, OD

Title

Owner

Phone

(704) 477-1283

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Doctors Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mason & Mincey OD PA

  • Optometrist
  • Kings Mountain, NC
  • NPI 1497845705

  O20041213000952

  Same enrollment
• Mason & Mincey OD PA

  • Optometrist
  • Gastonia, NC
  • NPI 1578628780

  O20041213000952

  Same enrollment

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1073678124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 PINEVILLE MATTHEWS RD",
            "address_2": "STE 540",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264750",
            "telephone_number": "704-541-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 PINEVILLE MATTHEWS RD",
            "address_2": "STE 540",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264750",
            "telephone_number": "704-541-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON & MINCEY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "MINCEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-477-1283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NC",
            "identifier": "014TF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014TF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "0609960002",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Mashburn, M. ED
• Michael Masi, DPT
• Mask Off Therapeutic PLLC
• Lisa Wohlbruck Mask, LPC,NCC,RN
• Douglas Joseph Maslowski
• Benita J. Mason, NC CERTIFIED PEER SU
• Caitlin Elizabeth Mason, RBT
• Catherine Adams Mason, O.D.
• Denise Simone Mason, MSW, LCSW
• Gail L Mason, RPH

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.