Provider Demographics
NPI:1851959829
Name:TANGMAN, CLAIRE ELIZABETH (OD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:TANGMAN
Suffix:
Gender:F
Credentials:OD
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Other - First Name:
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Mailing Address - Street 1:1810 SW WHITE BIRCH CIR STE 109
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-7226
Mailing Address - Country:US
Mailing Address - Phone:515-965-8488
Mailing Address - Fax:515-965-8499
Practice Address - Street 1:1810 SW WHITE BIRCH CIR STE 109
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-7226
Practice Address - Country:US
Practice Address - Phone:515-965-8488
Practice Address - Fax:515-965-8499
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003477152W00000X
IA106460152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist