Individual
DR. JOHN SCOTT MINCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2396 E FRANKLIN BLVD, GASTONIA, NC 28054-4727
(704) 864-7878
Mailing address
2396 E FRANKLIN BLVD, P.O. BOX 5149, GASTONIA, NC 28054-4727
(704) 864-7878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1529
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901H
BLUECROSS BLUESHIELD NC
NC
05
—
890901H
—
NC
Enumeration date
10/15/2006
Last updated
06/14/2012
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