Caroline Elizabeth Kucha, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0003674 Issued in CO

Practice address

1931 Sheridan Blvd Unit S
Edgewater, CO 80214-1300

Phone

(303) 578-8055

NPI assigned

Jun 22, 2021

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Lakefront Eye Care, LLCGroup PAC ID 3072822600, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakefront Eye Care, LLC

  • Corneal and Contact Management Optometrist
  • Edgewater, CO
  • NPI 1003292954
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1568031847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 N KENT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 SHERIDAN BLVD UNIT S",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141300",
            "telephone_number": "303-578-8055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5446 N Kent Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532175111",
            "country_code": "US",
            "telephone_number": "414-202-8614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCHA",
        "first_name": "CAROLINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Hecht, BSN, RN
• Caroline Pauline High, MS, CCC-SLP
• Patrick Joseph Hoblitzell, DMD
• Christian Hodge, PHARM D
• Thomas Jordan, D.D.S.
• Emily Ladd, LSW
• Lakefront Eye Care, LLC
• Kathy Le, DDS
• Michael E Long, PHARMD
• Alexis Marella

• Optometrist in Edgewater, CO
• Providers in Edgewater, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.