Active NPI
Thomas Clancy Hidalgo, O.D.
- Optometrist
- Denham Springs, LA
National Provider Identifier
1114852902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2079-026AT
- Practice address
- 222 Veterans Blvd
Denham Springs, LA 70726-4724 - Phone
- (225) 791-2020
- NPI assigned
- Jun 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2079-026AT | LA | Primary |
Addresses
Primary practice location
222 Veterans Blvd
Denham Springs, LA 70726-4724
Mailing address
38084 Springwood Ave
Prairieville, LA 70769-4287
Phone (225) 933-0621
Other practice location 1
60007 W Way Dr
Amite, LA 70422-4186
Phone (985) 748-8096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1114852902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38084 SPRINGWOOD AVE",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707694287",
"telephone_number": "225-933-0621",
"fax_number": "225-791-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 VETERANS BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264724",
"telephone_number": "225-791-2020"
}
],
"practiceLocations": [
{
"address_1": "60007 W Way Dr",
"address_purpose": "LOCATION",
"city": "Amite",
"state": "LA",
"postal_code": "704224186",
"country_code": "US",
"telephone_number": "985-748-8096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIDALGO",
"first_name": "THOMAS",
"middle_name": "CLANCY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-15",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "2079-026AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.