Individual provider Active NPI

Claire Elizabeth Tangman, OD

  • Optometrist
  • Ankeny, IA
National Provider Identifier
1851959829
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
106460 Issued in IA
Practice address
1810 SW White Birch Cir Ste 109
Ankeny, IA 50023-7226
Phone
(515) 965-8488
Fax
(515) 965-8499
NPI assigned
Jun 4, 2019
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003477 CO
Optometrist 152W00000X 106460 IA Primary

Addresses

Primary practice location

1810 SW White Birch Cir Ste 109
Ankeny, IA 50023-7226

Mailing address

1810 SW White Birch Cir Ste 109
Ankeny, IA 50023-7226
Phone (515) 965-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305001754 IA Practitioner - Optometry 5597171108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Eye Care PCGroup PAC ID 0446383327, 10 clinicians

Practice addresses (Care Compare)

1350 SE University Ave
Waukee, IA 50263-8933
Phone (515) 987-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003477COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Optics Inc CurrentSince Mar 1, 2021 Accepting new patients
KNJ Optometry PLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Russell R Gist OD PC Optometrist PastSince Dec 13, 2022 Accepting new patients

Locations

1620 N Ankeny Blvd
Ste 106
Ankeny, IA 50023
Phone (515) 201-0176

2405 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 244-2338

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1851959829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 SW WHITE BIRCH CIR STE 109",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237226",
            "telephone_number": "515-965-8488",
            "fax_number": "515-965-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SW WHITE BIRCH CIR STE 109",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237226",
            "telephone_number": "515-965-8488",
            "fax_number": "515-965-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGMAN",
        "first_name": "CLAIRE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003477",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "106460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.