Organization Active NPI

Janet Hidalgo, OD, PLLC

  • Optometrist
  • Tampa, FL
National Provider Identifier
1871056804
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JANET HIDALGO, OD, PLLC
Practice address
5011 W Hillsborough Ave Ste F
Tampa, FL 33634-5309
Phone
(813) 373-5873
Fax
(813) 609-6475
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Dr. Janet O Hidalgo, ODNPI 1598035057
Title
Owner
Phone
(813) 373-5873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X

Addresses

Primary practice location

5011 W Hillsborough Ave Ste F
Tampa, FL 33634-5309

Mailing address

5011 W Hillsborough Ave Ste F
Tampa, FL 33634-5309
Phone (813) 373-5873

Other practice location 1

8025 Citrus Park Town Center Mall
Tampa, FL 33625-3180
Phone (813) 792-1628

Other practice location 2

11211 N Nebraska Ave Ste A5
Tampa, FL 33612-5767
Phone (813) 443-0783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190806002752 FL Part B Supplier - Clinic/Group Practice 6901133487 Receives reassigned benefits from 1 practitioner
Practice locations: Lakeland, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

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

11211 N Nebraska Ave
Ste A5
Tampa, FL 33612
Phone (813) 514-2333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1871056804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 W HILLSBOROUGH AVE STE F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345309",
            "telephone_number": "813-373-5873",
            "fax_number": "813-609-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 W HILLSBOROUGH AVE STE F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345309",
            "telephone_number": "813-373-5873",
            "fax_number": "813-609-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8025 Citrus Park Town Center Mall",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336253180",
            "country_code": "US",
            "telephone_number": "813-792-1628",
            "fax_number": "913-609-6475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11211 N Nebraska Ave Ste A5",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336125767",
            "country_code": "US",
            "telephone_number": "813-443-0783",
            "fax_number": "813-609-6475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JANET HIDALGO, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-373-5873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.