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Organization

MASON & MINCEY OD PA

Active
Other names
Doctors Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN SCOTT MINCEY OD (OWNER)
(704) 477-1283
Entity
Organization

Contact information

Practice address
8700 PINEVILLE MATTHEWS RD, STE 540, CHARLOTTE, NC 28226-4750
(704) 541-8448
Mailing address
8700 PINEVILLE MATTHEWS RD, STE 540, CHARLOTTE, NC 28226-4750
(704) 541-8448

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1529
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014TF
BLUE CROSS BLUE SHIELD OF NC
NC
01
0609960002
RR MEDICARE
NC
05
89014TF
NC
Enumeration date
12/27/2006
Last updated
06/14/2012
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