Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelique Mercedes Dela Victoria, OD

Individual provider Optometrist · NPI 1073291522

Angelique Mercedes Dela Victoria, OD is an Optometry in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices with Shepherd Eye Center Ltd, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2023
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2870 S Maryland Pkwy Ste 300
Las Vegas, NV 89109-1552
Phone: (027) 242-0207
Fax: (702) 724-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5094 Masotta Ave, Las Vegas, NV 89141-3887 — (702) 496-4671

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1179 (NV)

Record details

NPI number1073291522
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Shepherd Eye Center Ltd — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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