Individual
DR. NATALIE ELIZABETH COREY TANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
316 W 161ST ST, WESTFIELD, IN 46074-8566
(317) 254-6480
(317) 259-8609
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003578A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000681526
ANTHEM BCBS
IN
01
—
117744
SIHO
IN
01
—
18003578
INDIANA STATE LICENSE
IN
01
—
AO1958
EYEMED
IN
Enumeration date
06/23/2009
Last updated
05/07/2018
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