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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