Provider Demographics
NPI:1093009615
Name:STANLEY ANTON P.A.
Entity Type:Organization
Organization Name:STANLEY ANTON P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:ANTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:908-687-0535
Mailing Address - Street 1:565 HOMER TER
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7322
Mailing Address - Country:US
Mailing Address - Phone:908-687-0535
Mailing Address - Fax:
Practice Address - Street 1:565 HOMER TERRACE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:908-687-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OM00088100152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty