Lakefront Eye Care, LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPT.0003048 Issued in CO

Legal business name

LAKEFRONT EYE CARE, LLC

Practice address

1931 Sheridan Blvd
Suite S
Edgewater, CO 80214-1316

Phone

(303) 578-8055

NPI assigned

Aug 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jill Margaret BertNPI 1700166121

Title

Owner

Phone

(708) 519-0123

Specialties & licenses 7

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Margaret Bert, O.D.

  • Optometrist
  • Edgewater, CO
  • NPI 1700166121
  Medicare reassignment Care Compare group NPD Authorized official
• Caroline Elizabeth Kucha, OD

  • Optometrist
  • Edgewater, CO
  • NPI 1568031847
  Medicare reassignment Care Compare group NPD
• Elizabeth Helen Kaye, O.D.

  • Optometrist
  • Aurora, CO
  • NPI 1013945112
  Medicare reassignment NPD
• Maria Claire Bray, OD

  • Optometrist
  • Aurora, CO
  • NPI 1235810177
  Medicare reassignment
• Emily Smith, OD, MS

  • Optometrist
  • Edgewater, CO
  • NPI 1457973984
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1003292954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 SHERIDAN BLVD UNIT S",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141300",
            "telephone_number": "303-508-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 SHERIDAN BLVD",
            "address_2": "SUITE S",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141316",
            "telephone_number": "303-578-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEFRONT EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "BERT",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-519-0123",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003048",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "OPT.0003048",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CO",
            "license": "OPT.0003048",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "OPT.0003048",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "CO",
            "license": "OPT.0003048",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "OPT.0003048",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "CO",
            "license": "OPT.0003048",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010461",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63605376",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Joseph Hoblitzell, DMD
• Christian Hodge, PHARM D
• Thomas Jordan, D.D.S.
• Caroline Elizabeth Kucha, OD
• Emily Ladd, LSW
• Kathy Le, DDS
• Michael E Long, PHARMD
• Alexis Marella
• Cassandra MC Namara, PHARM.D.
• Sydney McKinney, LSW

• Corneal and Contact Management Optometrist in Edgewater, CO
• Providers in Edgewater, CO by specialty
• Corneal and Contact Management Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.