Organization
ADVANCED FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMKI SHAH OD (SOLE OWNER)
(201) 444-8277
Entity
Organization
Contact information
Practice address
1005 S MAPLE AVE, GLEN ROCK, NJ 07452-2820
(201) 444-8277
Mailing address
3070 BRISTOL PIKE STE 2-220, BENSALEM, PA 19020-5361
(215) 497-1001
(215) 639-2486
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
27OA00592000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037105
AETNA
NJ
Enumeration date
08/18/2017
Last updated
12/01/2017
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