Mason & Mincey OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1529 Issued in NC

Legal business name

MASON & MINCEY OD PA

Practice address

410 W King St
Kings Mountain, NC 28086-3349

Phone

(704) 739-8028

NPI assigned

Oct 15, 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, O.D.

Title

Owner

Phone

(704) 477-1283

Specialties & licenses 1

Addresses

Other identifiers 2

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
  • Charlotte, NC
  • NPI 1073678124

  O20041213000952

  Same enrollment
• Mason & Mincey OD PA

  • Optometrist
  • Gastonia, NC
  • NPI 1578628780

  O20041213000952

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Robert Mason, OD

  • Optometrist
  • Gastonia, NC
  • NPI 1942306998
  NPD (past)

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1497845705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1219",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280861219",
            "telephone_number": "704-739-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863349",
            "telephone_number": "704-739-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON & MINCEY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2013-02-15",
        "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": "O.D."
    },
    "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": "BLUECROSS BLUESHIELD NC",
            "identifier": "0117U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790117U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Majors Wellness Center, P.C.
• William John Majors III, DC
• Mary Elizabeth Mann, MS, CCC-SLP
• Connie Jo Mark, LCAS, LPC
• Marys Transition Place
• Catherine Lauren Mason, PHARMD
• McCree Transport LLC
• Nerisa McCree
• David Ronald McDaniel, O.D.
• Patricia Simone McIntyre, CSAC,LPCA,LCASA,NCC

• Optometrist in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.