Provider Demographics
NPI:1336135391
Name:SIEBER, FRANCIS J (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:SIEBER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 FRONT ST
Mailing Address - Street 2:SUITE 2103
Mailing Address - City:ELMER
Mailing Address - State:NJ
Mailing Address - Zip Code:08318-2143
Mailing Address - Country:US
Mailing Address - Phone:856-358-3000
Mailing Address - Fax:856-358-3236
Practice Address - Street 1:350 FRONT ST
Practice Address - Street 2:SUITE 2103
Practice Address - City:ELMER
Practice Address - State:NJ
Practice Address - Zip Code:08318-2143
Practice Address - Country:US
Practice Address - Phone:856-358-3000
Practice Address - Fax:856-358-3236
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ270A00438400152W00000X, 152WP0200X
NJ270A11438400152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Not Answered152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU26637Medicare UPIN