Organization
MASON & MINCEY OD PA
Active
Other names
Doctors Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SCOTT MINCEY O.D. (OWNER)
(704) 477-1283
Entity
Organization
Contact information
Practice address
410 W KING ST, KINGS MOUNTAIN, NC 28086-3349
(704) 739-8028
Mailing address
PO BOX 1219, KINGS MOUNTAIN, NC 28086-1219
(704) 739-8028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1529
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117U
BLUECROSS BLUESHIELD NC
NC
05
—
790117U
—
NC
Enumeration date
10/15/2006
Last updated
02/15/2013
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