Individual provider Active NPI

Taryn E Tangerman, OD

  • Optometrist
  • Angola, IN
National Provider Identifier
1972115764
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004242A Issued in IN
Practice address
1202 N Wayne St
Angola, IN 46703-2343
Phone
(260) 665-2825
Fax
(517) 278-3393
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004242A IN Primary

Addresses

Primary practice location

1202 N Wayne St
Angola, IN 46703-2343

Mailing address

142 E Chicago Rd
Coldwater, MI 49036-8449
Phone (517) 279-7927

Other names 1

  • Taryn E McDaniel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260401002765 IN Practitioner - Optometry 5092290536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

142 E Chicago Rd
Coldwater, MI 49036-8449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004242AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holicki Optical Inc Optometrist Past Accepting new patients
Holicki Eye Centers, P.C. Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1972115764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368449",
            "telephone_number": "517-279-7927",
            "fax_number": "517-278-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032343",
            "telephone_number": "260-665-2825",
            "fax_number": "517-278-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGERMAN",
        "first_name": "TARYN",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004242A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "MCDANIEL",
            "middle_name": "E",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.