Provider Demographics
NPI:1275535577
Name:SANDLER, FERNE E (OD)
Entity Type:Individual
Prefix:DR
First Name:FERNE
Middle Name:E
Last Name:SANDLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 RT 73 NORTH
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3400
Mailing Address - Country:US
Mailing Address - Phone:856-988-1118
Mailing Address - Fax:856-988-0947
Practice Address - Street 1:701 RT 73 NORTH
Practice Address - Street 2:SUITE 3
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3400
Practice Address - Country:US
Practice Address - Phone:856-988-1118
Practice Address - Fax:856-988-0947
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ4437152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU01538Medicare UPIN
NJ203908Medicare PIN