Individual provider Active NPI

Jason Minton, OD

  • Optometrist
  • Burlington, NC
National Provider Identifier
1073873865
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2314 Issued in NC
Practice address
3141 Garden Rd
Burlington, NC 27215-9786
Phone
(704) 995-0366
NPI assigned
May 25, 2012
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2314 NC Primary

Addresses

Primary practice location

3141 Garden Rd
Burlington, NC 27215-9786

Mailing address

1683 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-1604
Phone (704) 995-0366

Other practice location 1

530 S Graham Hopedale Rd
Burlington, NC 27217-4322
Phone (336) 263-4647

Other practice location 2

2800 NC-24 #87
Cameron, NC 22832
Phone (336) 263-4647

Other practice location 3

1201 Raleigh Rd Ste E
Chapel Hill, NC 27517-4047
Phone (919) 942-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000700 NC Practitioner - Optometry 3375784093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2314NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Sep 27, 2022 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Sep 27, 2022 Accepting new patients
Clark Optometric Center PA Optometrist Past Accepting new patients
Desmone Family Eye Care, OD PA Optometrist PastSince Oct 1, 1999 Accepting new patients

Locations

1201 Raleigh Rd
Ste E
Chapel Hill, NC 27517
Phone (919) 851-0093

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1000 N Madison Blvd
Roxboro, NC 27573
Phone (336) 597-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1073873865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 MARTIN LUTHER KING JR BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141604",
            "telephone_number": "704-995-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 GARDEN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159786",
            "telephone_number": "704-995-0366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 S Graham Hopedale Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272174322",
            "country_code": "US",
            "telephone_number": "336-263-4647",
            "fax_number": "336-263-3934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 NC-24 #87",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "NC",
            "postal_code": "22832",
            "country_code": "US",
            "telephone_number": "336-263-4647",
            "fax_number": "336-263-5934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Raleigh Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275174047",
            "country_code": "US",
            "telephone_number": "919-942-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTON",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.