Individual
DR. TAMI CORDT FRISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5720 E BROADWAY BLVD, TUCSON, AZ 85711-3814
(520) 747-8583
(520) 747-8561
Mailing address
4464 N LITTLE ROCK DR, TUCSON, AZ 85750-6900
(520) 749-4973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
520
AZ
152WC0802X
Corneal and Contact Management Optometrist
520
AZ
152WP0200X
Pediatric Optometrist
520
AZ
152WV0400X
Vision Therapy Optometrist
520
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2477048
AETNA
AZ
01
—
2Z4440
HEALTHNET
AZ
01
—
AZ0175250
BCBS
AZ
01
—
S5055
DME
AZ
05
—
WCKGL
—
AZ
Enumeration date
06/22/2005
Last updated
02/27/2008
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