Individual provider Active NPI

Thomas Clancy Hidalgo, O.D.

  • Optometrist
  • Denham Springs, LA
National Provider Identifier
1114852902
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2079-026AT Issued in LA
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

Updated by the provider on Aug 31, 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 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.

Verify at the official NPI Registry.