Bert, Jill Margaret

Bert, Jill Margaret is an individual health care provider with primary practice located at 1931 Sheridan Blvd Suite S, Edgewater CO 80214-1316. She recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Bert, Jill Margaret can be contacted via phone (303) 578-8055.

Contact Information

Primary practice address
1931 Sheridan Blvd Suite S Edgewater CO 80214-1316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPT.0003048 Colorado
Eye and Vision Services Providers / Sports Vision 152WS0006X OPT0003048 Colorado
Eye and Vision Services Providers / Occupational Vision 152WX0102X OPT.0003048 Colorado
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT.0003048 Colorado
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OPT.0003048 Colorado
Eye and Vision Services Providers / Pediatrics 152WP0200X OPT.0003048 Colorado
Eye and Vision Services Providers / Optometrist 152W00000X OPT.0003048 Colorado

Profile Details

NPI number 1700166121
LBN Legal business name Bert, Jill Margaret
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2011
Last updated Feb 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700166121 NPPES
Colorado MEDICAID 63605376

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