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ANGELIQUE MERCEDES DELA VICTORIA OD
NPI 1073291522
Optometrist in Las Vegas, NV

Active since July 06, 2023PECOS EnrolledAccepts Medicare Assignment
2870 S MARYLAND PKWY STE 300, LAS VEGAS, NV 89109(027) 242-0207(702) 724-2800 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 20, 2024, Jul 6, 2023 (2 updates tracked since 2023).

About Angelique Mercedes Dela Victoria Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELIQUE MERCEDES DELA VICTORIA OD (NPI 1073291522) is an individual optometrist in Las Vegas, Nevada, licensed in Nevada (1179) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073291522
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameANGELIQUE MERCEDES DELA VICTORIACredential: OD
Location Address2870 S MARYLAND PKWY STE 300Las Vegas, NV 89109-1552
Mailing Address5094 Masotta AveLas Vegas, NV 89141-3887
Phone(027) 242-0207
Fax(702) 724-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 6, 2023
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1073291522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NV · 1179
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2870 S MARYLAND PKWY STE 300, Las Vegas, NV 89109
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Secondary Practice Location 1

Location 15094 Masotta AveLas Vegas, NV 89141-3887 · Phone (702) 496-4671

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angelique Mercedes Dela Victoria Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284174657
PECOS Enrollment IDI20240912000003
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Angelique Dela Victoria reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shepherd Eye Center, Ltd
1.8 mi
Ophthalmology
3575 PECOS MCLEOD
Las Vegas, NV 89121
  • Reassigned Medicare billing, Nevada enrollment
  • 44 clinicians in this Medicare group
NPI 1487604054 (702) 731-2088
Center For Sight Eva I Liang MD PC
8.5 mi
Ophthalmology
5871 W CRAIG RD
Las Vegas, NV 89130
  • Reassigned Medicare billing, Nevada enrollment
  • 17 clinicians in this Medicare group
NPI 1881946218 (702) 943-0891

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
19 services19 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
15 services15 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASSURED HEALTHCARE SYSTEMS
In Home Supportive Care
2870 S MARYLAND PKWY STE 300
LAS VEGAS, NV 89109
Clark County (702) 665-6110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelique Dela Victoria's NPI number?

The NPI number for Angelique Dela Victoria is 1073291522. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Angelique Dela Victoria located?

Angelique Dela Victoria practices at 2870 S Maryland Pkwy Ste 300, Las Vegas, NV 89109. The listed phone number is (027) 242-0207.

What is Angelique Dela Victoria's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Angelique Dela Victoria enrolled in Medicare?

Yes. Angelique Dela Victoria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Angelique Dela Victoria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelique Dela Victoria reassigns Medicare benefits to 2 organizations: Shepherd Eye Center, Ltd (Las Vegas, NV) and Center For Sight Eva I Liang MD PC (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelique Dela Victoria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelique Dela Victoria accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Angelique Dela Victoria as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angelique Dela Victoria was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.