Provider Demographics
NPI:1306973987
Name:MIGLANI, SHEFALI (OD)
Entity type:Individual
Prefix:DR
First Name:SHEFALI
Middle Name:
Last Name:MIGLANI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SHEFALI
Other - Middle Name:
Other - Last Name:MIGLANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1600 PERRINEVILLE RD
Mailing Address - Street 2:SUITE # 32
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-4923
Mailing Address - Country:US
Mailing Address - Phone:609-235-9770
Mailing Address - Fax:609-235-9771
Practice Address - Street 1:1600 PERRINEVILLE RD
Practice Address - Street 2:SUITE # 32
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-4923
Practice Address - Country:US
Practice Address - Phone:609-235-9770
Practice Address - Fax:609-235-9771
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00600700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1316185044OtherMONROE EYE CARE NJ, LLC NPI #
NJ142844ZCHWMedicare PIN