LAKE COUNTRY EYE CARE, LLC
NPI 1457757288
Optometrist in Hartland, WI
About Lake Country Eye Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE COUNTRY EYE CARE, LLC (NPI 1457757288) is a healthcare organization registered as an optometrist in Hartland, Wisconsin and active in the NPI registry since November 2014. The organization lists Amber A Dentz, Optometrist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Country Eye Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Lake Country Eye Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Country Eye Care, LLC's NPI number?
The NPI number for Lake Country Eye Care, LLC is 1457757288. It was assigned to this organization in the NPPES registry on November 5, 2014.
Where is Lake Country Eye Care, LLC located?
Lake Country Eye Care, LLC is located at 520 Hartbrook Dr Ste F, Hartland, WI 53029. The listed phone number is (262) 367-6610.
What is Lake Country Eye Care, LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lake Country Eye Care, LLC enrolled in Medicare?
Yes. Lake Country Eye Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Country Eye Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Lake Country Eye Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Country Eye Care, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Lake Country Eye Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lake Country Eye Care, LLC was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lake Country Eye Care, Llc · NPI 1457757288
Optometrist organization in Hartland, Wisconsin. Organization record, active in the CMS NPPES registry since November 5, 2014.
## Identity
- **NPI:** 1457757288 (Entity type: Organization)
- **Enumerated:** November 5, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Amber Dentz, OPTOMETRIST/OWNER
## Practice location
- **Address:** 520 HARTBROOK DR STE F, Hartland, WI 53029-1402
- **Phone:** (262) 367-6610 · **Fax:** (262) 367-0964
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2015
- **Other identifiers:** Medicare NSC 0000347730 (WI); Medicare UPIN U86423 (WI); Medicaid 152WOOOOX (WI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1457757288) · Data from the CMS NPPES public registry.