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Organization

MASON & MINCEY OD PA

Active
Other names
Carolina Eye
Organization subpart
No

Provider details

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

Contact information

Practice address
2396 E FRANKLIN BLVD, GASTONIA, NC 28054-4727
(704) 864-7878
(704) 868-9591
Mailing address
PO BOX 5149, 2396 E FRANKLIN BLVD, GASTONIA, NC 28054-0020
(704) 864-7878
(704) 868-9591

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202V
BCBS GROUP #
NC
05
890202V
NC
Enumeration date
12/27/2006
Last updated
10/10/2024
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