Friske, Tami Cordt
Friske, Tami Cordt is an sole proprietor health care provider with primary practice located at 5720 E Broadway Blvd , Tucson AZ 85711-3814. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Friske, Tami Cordt can be contacted via phone (520) 747-8583.Contact Information
Primary practice address
5720 E Broadway Blvd
Tucson AZ 85711-3814
Phone: (520) 747-8583
Fax: (520) 747-8561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 520 | Arizona |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 520 | Arizona |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 520 | Arizona |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 520 | Arizona |
Profile Details
| NPI number | 1003812256 |
|---|---|
| LBN Legal business name | Friske, Tami Cordt |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Feb 27th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003812256 | NPPES |
| Arizona | MEDICAID | WCKGL | |
| Arizona | Other | 2477048 | |
| Arizona | Other | 2Z4440 | |
| Arizona | Other | AZ0175250 | |
| Arizona | Other | S5055 |
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