Individual provider Active NPI

Frank D Tangeman, O.D.

  • Optometrist
  • Celina, OH
National Provider Identifier
1942279690
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3047-06 Issued in OH
Practice address
706 E Wayne St
Celina, OH 45822-0629
Phone
(419) 586-2909
Fax
(419) 586-8127
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3047-06 OH Primary

Addresses

Primary practice location

706 E Wayne St
Celina, OH 45822-0629

Mailing address

PO Box 629
Celina, OH 45822-0629
Phone (419) 586-2909

Other identifiers 1

IdentifierTypeStateIssuer
0199566MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100524000166 OH Practitioner - Optometry 9133258510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3047-06OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer in-Sight LLC Optometrist CurrentSince Jul 1, 2011 Accepting new patients

Locations

706 E Wayne St
Celina, OH 45822
Phone (419) 586-2909

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1942279690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458220629",
            "telephone_number": "419-586-2909",
            "fax_number": "419-586-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E WAYNE ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458220629",
            "telephone_number": "419-586-2909",
            "fax_number": "419-586-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGEMAN",
        "first_name": "FRANK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3047-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199566",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.