ANGELIQUE MERCEDES DELA VICTORIA (OD) – Optometrist, NPI 1073291522
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
386 OPTOMETRY in NV
Provider Addresses for ANGELIQUE MERCEDES DELA VICTORIA (OD)
5094 Masotta Ave
Las Vegas, NV 891413887
Phone: (702) 496-4671
Type: Location
5094 MASOTTA AVE
LAS VEGAS, NV 891413887
Phone:
Type: Mailing
2870 S MARYLAND PKWY STE 300
LAS VEGAS, NV 891091552
Phone: (027) 242-0207
Fax: (702) 724-2800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Glaukos Corporation ($167).
Total Amount
$181
General + Research + Ownership
Payments
3
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $167 |
| Amgen Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240912000003 | I | Optometry | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NV | |
| O P H T H A L M O L O G Y | NV | |
| O P T O M E T R Y | NM | |
| O P H T H A L M O L O G Y | NV | |
| O P H T H A L M O L O G Y | NV | |
| O P H T H A L M O L O G Y | NV | |
| O P H T H A L M O L O G Y | NV | |
| O P H T H A L M O L O G Y | NV | |
| O P H T H A L M O L O G Y | NV | |
| - | NV |
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