Provider Demographics
NPI:1346316635
Name:FRISCHMANN, CYNTHIA JAY (OD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JAY
Last Name:FRISCHMANN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7440 N SHADELAND AVE
Mailing Address - Street 2:SUITE #160
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2029
Mailing Address - Country:US
Mailing Address - Phone:317-915-3937
Mailing Address - Fax:317-915-3946
Practice Address - Street 1:7440 N SHADELAND AVE
Practice Address - Street 2:SUITE #160
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2029
Practice Address - Country:US
Practice Address - Phone:317-915-3937
Practice Address - Fax:317-915-3946
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002565A152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN259440AOtherMEDICARE PTAN
IN6247960001Medicare NSC