Lakefront Eye Care, Llc

LBN: Lakefront Eye Care, Llc
Lakefront Eye Care, Llc is an health care organization with primary practice located at 1931 Sheridan Blvd Suite S, Edgewater CO 80214-1316. The organization recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, 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 / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Corneal and Contact Management is the primary health care specialty. Lakefront Eye Care, Llc can be contacted via phone (303) 578-8055, or through Bert, Jill Margaret via phone (303) 578-8055.

Contact Information

Primary practice address
1931 Sheridan Blvd Suite S Edgewater CO 80214-1316
Phone: (303) 578-8055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bert, Jill Margaret Doctor of Optometry (OD)
Phone: (303) 578-8055

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 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 / Sports Vision 152WS0006X OPT.0003048 Colorado
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPT.0003048 Colorado
Eye and Vision Services Providers / Occupational Vision 152WX0102X OPT.0003048 Colorado

Profile Details

NPI number 1003292954
LBN Legal business name Lakefront Eye Care, Llc
DBA Doing business as
Authorized official Bert, Jill Margaret Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2015
Last updated Aug 3rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003292954 NPPES
Illinois MEDICAID 046010461
Illinois MEDICAID 63605376

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