Angelique Mercedes Dela Victoria, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1179 Issued in NV

Practice address

2870 S Maryland Pkwy Ste 300
Las Vegas, NV 89109-1552

Phone

(027) 242-0207

Fax

(702) 724-2800

NPI assigned

Jul 6, 2023

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Center for Sight Eva I Liang MD PCGroup PAC ID 0840443180, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Center for Sight Eva I Liang MD PC

  dba Center For Sight

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1881946218
  Medicare reassignment Care Compare group NPD
• Shepherd Eye Center, LTD

  dba Nevada Eye Physicians

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1487604054

  Optometrist

  Medicare reassignment Care Compare group NPD
• Dr Adam Schwartz LTD

  dba Schwartz Eye Care

  • Optometrist
  • Las Vegas, NV
  • NPI 1952532657
  NPD
• Shepherd Eye Center, LTD

  dba Nevada Eye Physicians

  • Ophthalmology Physician
  • Henderson, NV
  • NPI 1568032522

  Optometrist

  NPD

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1073291522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5094 MASOTTA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091552",
            "telephone_number": "027-242-0207",
            "fax_number": "702-724-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5094 Masotta Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891413887",
            "country_code": "US",
            "telephone_number": "702-496-4671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA VICTORIA",
        "first_name": "ANGELIQUE",
        "middle_name": "MERCEDES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Joy Dela Rosa
• Juan Carlos Dela Sardinas
• Gian Alexis Gonzalo Dela Vega
• Marilou Dela Vega
• Raine Dela Vega
• Katherine Dela-Cruz
• Melissa Delacaza
• Gretter Delacruz Charboniel
• Delacruz Psychiatric Services
• Katherine Delacruz-Mercedes

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.