Individual provider Active NPI

Robert Tandler, O.D.

  • Optometrist
  • Union City, NJ
National Provider Identifier
1104812924
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03660 Issued in NJ
Practice address
418 38TH St
Union City, NJ 07087-4806
Phone
(201) 867-0199
Fax
(201) 867-0226
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 03660 NJ Primary

Addresses

Primary practice location

418 38TH St
Union City, NJ 07087-4806

Mailing address

418 38TH St
Union City, NJ 07087-4806
Phone (201) 867-0199

Other identifiers 1

IdentifierTypeStateIssuer
7438605MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000009 NJ Practitioner - Optometry 4284662925 Practice locations: Randolph, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03660NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC Past Accepting new patients
Morillo Eye Associates Union City Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104812924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 38TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874806",
            "telephone_number": "201-867-0199",
            "fax_number": "201-867-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 38TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874806",
            "telephone_number": "201-867-0199",
            "fax_number": "201-867-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDLER",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "03660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7438605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.