Organization Active NPI

Mason & Mincey OD PA

  • Optometrist
  • Gastonia, NC
National Provider Identifier
1578628780
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1529 Issued in NC
Legal business name
MASON & MINCEY OD PA
Doing business as
Carolina Eye
Practice address
2396 E Franklin Blvd
Gastonia, NC 28054-4727
Phone
(704) 864-7878
Fax
(704) 868-9591
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Dr. John Scott Mincey, ODNPI 1235229543
Title
Owner
Phone
(704) 477-1283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1529 NC Primary

Addresses

Primary practice location

2396 E Franklin Blvd
Gastonia, NC 28054-4727

Mailing address

PO Box 5149
2396 E Franklin Blvd
Gastonia, NC 28054-0020
Phone (704) 864-7878

Other identifiers 2

IdentifierTypeStateIssuer
890202VMedicaidNC
0202VOtherNCBCBS GROUP #

Other names 1

  • Carolina Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000952 NC Part B Supplier - Clinic/Group Practice 9436116290 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Gastonia, NC; Kings Mountain, NC

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1578628780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5149",
            "address_2": "2396 E FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540020",
            "telephone_number": "704-864-7878",
            "fax_number": "704-868-9591"
        },
        {
            "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",
            "fax_number": "704-868-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON & MINCEY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890202V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0202V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 10, 2024; 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.