Provider Type Icon

LAKEFRONT EYE CARE LLC NPI 1003292954


NPI Information

NPI: 1003292954
Provider Name: LAKEFRONT EYE CARE, LLC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
1931 SHERIDAN BLVD
SUITE S
EDGEWATER, CO
ZIP 80214
Phone: (303) 578-8055
Get Directions

LAKEFRONT EYE CARE, LLC is a corneal and contact management optometrist in Edgewater, CO. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. LAKEFRONT EYE CARE, LLC NPI is 1003292954. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1931 SHERIDAN BLVD
SUITE S
EDGEWATER, CO
ZIP 80214-316
Phone: (303) 578-8055

The provider's authorized official is Jill Margaret Bert .
The authorized official title is Optometrist/owner and has the following contact phone number (303) 578-8055.

The enumeration date for this NPI number is 8/3/2015 and was last updated on 8/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOPT.0003048COLORADONo
2152WL0500XOptometristLow Vision RehabilitationOPT.0003048COLORADONo
3152WP0200XOptometristPediatricsOPT.0003048COLORADONo
4152WS0006XOptometristSports VisionOPT.0003048COLORADONo
5152WV0400XOptometristVision TherapyOPT.0003048COLORADONo
6152WX0102XOptometristOccupational VisionOPT.0003048COLORADONo
7152WC0802XOptometristCorneal and Contact ManagementOPT.0003048COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
163605376MEDICAIDCOLORADO
23936462MEDICARE PINCOLORADO
33842002MEDICARE PINILLINOIS
4046010461MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.