Provider Demographics
NPI:1508011560
Name:MASINO, ANTHONY R
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:R
Last Name:MASINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 HAMBURG TURNPIKE
Mailing Address - Street 2:ARGUS OPTICAL
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6250
Mailing Address - Country:US
Mailing Address - Phone:973-831-0296
Mailing Address - Fax:973-831-0296
Practice Address - Street 1:2025 HAMBURG TURNPIKE
Practice Address - Street 2:ARGUS OPTICAL
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6250
Practice Address - Country:US
Practice Address - Phone:973-831-0296
Practice Address - Fax:973-831-0296
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD-1317156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician