Healthcare Provider Details

I. General information

NPI: 1336135391
Provider Name (Legal Business Name): FRANCIS J SIEBER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 FRONT ST SUITE 2103
ELMER NJ
08318-2143
US

IV. Provider business mailing address

350 FRONT ST SUITE 2103
ELMER NJ
08318-2143
US

V. Phone/Fax

Practice location:
  • Phone: 856-358-3000
  • Fax: 856-358-3236
Mailing address:
  • Phone: 856-358-3000
  • Fax: 856-358-3236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number270A00438400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number270A11438400
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number270A00438400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: