Active NPI
John Scott Mincey, O.D.
- Optometrist
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1529
- Practice address
- 2396 E Franklin Blvd
Gastonia, NC 28054-4727 - Phone
- (704) 864-7878
- NPI assigned
- Oct 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1529 | NC | Primary |
Addresses
Primary practice location
2396 E Franklin Blvd
Gastonia, NC 28054-4727
Mailing address
2396 E Franklin Blvd
P.O. Box 5149
Gastonia, NC 28054-4727
Phone (704) 864-7878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890901H | Medicaid | NC | |
| 0901H | Other | NC | BLUECROSS BLUESHIELD NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2396 E Franklin Blvd
Gastonia, NC 28054-4727
Phone (704) 864-7878
410 W King St
Kings Mountain, NC 28086-3349
Phone (704) 739-8028
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1529 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Mason & Mincey OD PA | Optometrist | Current | Accepting new patients |
Locations
8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727
11030 Golf Links Dr
Ste 204
Charlotte, NC 28277
Phone (704) 943-5110
2396 E Franklin Blvd
Gastonia, NC 28054
Phone (704) 541-8442
410 W King St
Kings Mtn, NC 28086
Phone (704) 295-0001
18 Bowman Dr
Ste C
Waynesville, NC 28785
Phone (800) 624-6575
230 Kings Hwy E
Haddonfield, NJ 08033
Phone (856) 617-4858
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Gastonia, NC
- NPI 1578628780
-
- Optometrist
- Creston, IA
- NPI 1548023518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1235229543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2396 E FRANKLIN BLVD",
"address_2": "P.O. BOX 5149",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544727",
"telephone_number": "704-864-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2396 E FRANKLIN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544727",
"telephone_number": "704-864-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINCEY",
"first_name": "JOHN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-15",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890901H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD NC",
"identifier": "0901H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.