Individual provider Active NPI

Angelica Viviana Delgado, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1245645233
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008143-1 Issued in NY
Practice address
9 W 14TH St
New York, NY 10011-7402
Phone
(212) 242-0314
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 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 TUV008143-1 NY Primary

Addresses

Primary practice location

9 W 14TH St
New York, NY 10011-7402

Mailing address

9429 Park LN S
Woodhaven, NY 11421-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140807000171 NY Practitioner - Optometry 1052538576 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008143-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center Inc Optometrist CurrentSince Sep 7, 2016 Accepting new patients
BV at 86 Optical Ny Inc CurrentSince Mar 19, 2024 Accepting new patients
Vincente Calderon OD PC Optometrist CurrentSince Jun 1, 2015 Accepting new patients
Empire Vision Center, Inc CurrentSince Sep 7, 2016 Accepting new patients
Swift Optometry Care PC Optometrist CurrentSince Jun 15, 2014 Accepting new patients
Union Square Optical, Inc Optometrist PastSince Jan 28, 2024 Accepting new patients

Locations

385 E 149th St
Bronx, NY 10455
Phone (347) 385-2633

2742 E Tremont Ave
Bronx, NY 10461
Phone (347) 422-7380

2020 86th St
Brooklyn, NY 11214
Phone (718) 449-7164

494 Gateway Dr
Unit K12
Brooklyn, NY 11239
Phone (718) 227-3120

250 Skillman St
Ste 202
Brooklyn, NY 11205

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

26001 79th Ave
Glen Oaks, NY 11004
Phone (347) 422-7380

19106 Hillside Ave
Jamaica, NY 11423
Phone (718) 439-8533

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

275 Moriches Rd
Saint James, NY 11780
Phone (516) 317-8913

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1245645233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 PARK LN S",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117402",
            "telephone_number": "212-242-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ANGELICA",
        "middle_name": "VIVIANA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008143-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.