Individual provider Active NPI

Janet Hidalgo, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1598035057
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4869 Issued in FL
Practice address
1512A E Fowler Ave
Tampa, FL 33612-5416
Phone
(813) 971-0471
Fax
(813) 464-2763
NPI assigned
Dec 30, 2011
Last updated
Oct 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4869 FL Primary

Addresses

Primary practice location

1512A E Fowler Ave
Tampa, FL 33612-5416

Mailing address

16618 Vallely Dr
Tampa, FL 33618-1131
Phone (813) 340-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140905002300 FL Practitioner - Optometry 7517128861 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4869FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 14, 2014 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 14, 2014 Accepting new patients
Janet Hidalgo, OD, PLLC Optometrist CurrentSince Aug 1, 2019 Accepting new patients

Locations

1512 E Fowler Ave
Ste A
Tampa, FL 33612
Phone (813) 971-0471

5011 W Hillsborough Ave
Ste F
Tampa, FL 33634
Phone (813) 373-5873

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1598035057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16618 VALLELY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181131",
            "telephone_number": "813-340-0688",
            "fax_number": "813-963-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512A E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125416",
            "telephone_number": "813-971-0471",
            "fax_number": "813-464-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "JANET",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.