MEDICARE: DR. FERNE E SANDLER OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	NJ4437	NJ

General Provider Information

NPI Number	:	1275535577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERNE E SANDLER OD

Provider Business Mailing Address
First Line	:	701 RT 73 NORTH
Second Line	:	SUITE 3
City	:	MARLTON
State	:	NJ
Zip	:	08053-3400
Country	:	US
Telephone Number	:	856-988-1118
Fax Number	:	856-988-0947

Provider Business Practice Location Address
First Line	:	701 RT 73 NORTH
Second Line	:	SUITE 3
City	:	MARLTON
State	:	NJ
Zip	:	08053-3400
Country	:	US
Telephone Number	:	856-988-1118
Fax Number	:	856-988-0947

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/28/2022

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