Individual provider Active NPI

John Scott Mincey, O.D.

  • Optometrist
  • Gastonia, NC
National Provider Identifier
1235229543
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1529 Issued in NC
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

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
890901HMedicaidNC
0901HOtherNCBLUECROSS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000357 NC Practitioner - Optometry 0143287904 Reassigns benefits to 2 organizations

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
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

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

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1529NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Mason & Mincey OD PA Optometrist CurrentSince Oct 13, 2001 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.

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

Verify at the official NPI Registry.