MEDICARE: DR. CYNTHIA JAY FRISCHMANN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WV0400X	Vision Therapy Optometrist	18002565A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	259440A	OTHER	IN	MEDICARE PTAN

General Provider Information

NPI Number	:	1346316635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA JAY FRISCHMANN O.D.

Provider Business Mailing Address
First Line	:	7440 N SHADELAND AVE
Second Line	:	SUITE #160
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2029
Country	:	US
Telephone Number	:	317-915-3937
Fax Number	:	317-915-3946

Provider Business Practice Location Address
First Line	:	7440 N SHADELAND AVE
Second Line	:	SUITE #160
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2029
Country	:	US
Telephone Number	:	317-915-3937
Fax Number	:	317-915-3946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	06/06/2014

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