Organization Active NPI

Tami C. Friske, O.D., PC

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1275743718
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
520 Issued in AZ
Legal business name
TAMI C. FRISKE, O.D., PC
Doing business as
Friske Optometric Center
Practice address
5720 E Broadway Blvd
Tucson, AZ 85711-3814
Phone
(520) 747-8583
Fax
(520) 747-8561
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Tami C Friske, O.D.NPI 1003812256
Title
President
Phone
(520) 747-8583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 520 AZ Primary

Addresses

Primary practice location

5720 E Broadway Blvd
Tucson, AZ 85711-3814

Mailing address

5720 E Broadway Blvd
Tucson, AZ 85711-3814
Phone (520) 747-8583

Other identifiers 2

IdentifierTypeStateIssuer
S5055OtherAZDME
WCKGLMedicaidAZ

Other names 1

  • Friske Optometric Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000525 AZ Part B Supplier - Clinic/Group Practice 0345226833 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1275743718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "TAMI C. FRISKE, O.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "FRISKE",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-747-8583",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "S5055",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WCKGL",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friske Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.