An optical axis regulating device of a lighting device for a vehicle, which serves to vertically and transversely tilt a lamp unit supported on one fulcrum in a lamp housing formed by a lamp body having a concave portion and a transparent cover for covering an opening portion of the lamp body, includes a case, a slider movable in a longitudinal direction with respect to the case, an output portion rotatably supported on the slider and coupled to the lamp unit, a vertical regulating device for moving the slider in a longitudinal direction, and a transverse regulating device for rotating the output portion.