Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LAKEFRONT EYE CARE, LLC
NPI 1003292954
Optometrist - Corneal and Contact Management in Edgewater, CO

Active since August 03, 2015CLIA 06D2312169 · Waiver
1931 SHERIDAN BLVD, SUITE S, EDGEWATER, CO 80214(303) 578-8055 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakefront Eye Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEFRONT EYE CARE, LLC (NPI 1003292954) is a healthcare organization registered as a corneal and contact management in Edgewater, Colorado and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Jill Margaret Bert, Owner, as its authorized official.

NPPES Registry Identity

NPI1003292954
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameLAKEFRONT EYE CARE, LLC
Location Address1931 SHERIDAN BLVD, SUITE SEdgewater, CO 80214-1316
Mailing Address1931 Sheridan Blvd Unit SEdgewater, CO 80214-1300 · (303) 508-8055
Organization SubpartNo
Authorized OfficialJill Margaret BertOwner · (708) 519-0123
Enumeration DateAugust 3, 2015
Last NPPES UpdateJuly 3, 2026
NPPES CertifiedJuly 3, 2026
NPI 1003292954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in CO · OPT.0003048
Definition

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.

Also ListedOptometristTaxonomy 152W00000X · License OPT.0003048 (CO)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License OPT.0003048 (CO)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License OPT.0003048 (CO)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License OPT.0003048 (CO)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License OPT.0003048 (CO)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License OPT.0003048 (CO)
1931 SHERIDAN BLVD, Edgewater, CO 80214

Other Identifiers 2

Medicaid046010461IL
Medicaid63605376CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2312169

Lakefront Eye Care · Edgewater, CO
Active · expires Oct 3, 2026
CLIA Number06D2312169
Laboratory TypePractitioner Other
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorJill M. Bert
Laboratory Phone(303) 578-8055
Laboratory LocationLakefront Eye Care1931 N Sheridan Blvd, Ste S, Edgewater, CO 80214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1931 SHERIDAN BLVD, SUITE S
EDGEWATER, CO 80214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003292954, enumerated as an "organization" on August 03, 2015.

The provider is located at 1931 SHERIDAN BLVD SUITE S EDGEWATER, CO 80214 and the phone number is (303) 578-8055.

Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.