Active NPI
Tami Cordt Friske, OD
- Optometrist
- Tucson, AZ
National Provider Identifier
1003812256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 520
- Practice address
- 5720 E Broadway Blvd
Tucson, AZ 85711-3814 - Phone
- (520) 747-8583
- Fax
- (520) 747-8561
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 520 | AZ | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 520 | AZ | |
| Pediatric Optometrist | 152WP0200X | 520 | AZ | |
| Vision Therapy Optometrist | 152WV0400X | 520 | AZ |
Addresses
Primary practice location
5720 E Broadway Blvd
Tucson, AZ 85711-3814
Mailing address
4464 N Little Rock Dr
Tucson, AZ 85750-6900
Phone (520) 749-4973
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WCKGL | Medicaid | AZ | |
| 2477048 | Other | AZ | AETNA |
| 2Z4440 | Other | AZ | HEALTHNET |
| AZ0175250 | Other | AZ | BCBS |
| S5055 | Other | AZ | DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 N El Dorado PL
Suite G 750
Tucson, AZ 85715-4637
Phone (520) 747-8583
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 520 | AZ | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tami C. Friske, O.D., PC | Optometrist | Current | Accepting new patients |
Locations
5720 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 747-8583
1200 N El Dorado Pl
Ste G750
Tucson, AZ 85715
Phone (520) 747-8583
Networks
- NM HMO C-SNP
Organizations & group practices 1
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": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1003812256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4464 N LITTLE ROCK DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506900",
"telephone_number": "520-749-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113814",
"telephone_number": "520-747-8583",
"fax_number": "520-747-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISKE",
"first_name": "TAMI",
"middle_name": "CORDT",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "520",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "AZ",
"license": "520",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "AZ",
"license": "520",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "AZ",
"license": "520",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WCKGL",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2477048",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2Z4440",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0175250",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "S5055",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.