Lakefront Eye Care, Llc is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Edgewater, Colorado. Their current practice location is
1931 Sheridan Blvd, Suite S, Edgewater, Colorado. You can reach out to their office (for appointments etc.) via phone at
(303) 578-8055.
Lakefront Eye Care, Llc is licensed to practice in Colorado (license number OPT.0003048) and it also participates in the medicare program. Lakefront Eye Care, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003292954.
Healthcare Provider's Profile
| Full Name | Lakefront Eye Care, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist - Corneal And Contact Management |
|---|
| Location | 1931 Sheridan Blvd, Edgewater, Colorado |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1003292954
- Provider Enumeration Date: 08/03/2015
- Last Update Date: 08/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 3072822600
- Enrollment ID: O20151022001229
Medical Identifiers
Medical identifiers for Lakefront Eye Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003292954 | NPI | - | NPPES |
| 046010461 | Medicaid | IL | |
| 63605376 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT.0003048 (Colorado) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | OPT.0003048 (Colorado) | Primary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | OPT.0003048 (Colorado) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | OPT.0003048 (Colorado) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | OPT.0003048 (Colorado) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | OPT.0003048 (Colorado) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | OPT.0003048 (Colorado) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lakefront Eye Care, Llc acts as a billing entity for following providers:
| Provider Name | Elizabeth Helen Kaye |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1013945112
PECOS PAC ID: 8325037203
Enrollment ID: I20040506001406 |
|---|
| Provider Name | Jill Margaret Bert |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1700166121
PECOS PAC ID: 2769656719
Enrollment ID: I20150303000236 |
|---|
| Provider Name | Caroline Elizabeth Kucha |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1568031847
PECOS PAC ID: 4688079668
Enrollment ID: I20210910001194 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakefront Eye Care, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lakefront Eye Care, Llc
1931 Sheridan Blvd, Suite S,
Edgewater, CO 80214-1316
Ph: (303) 508-8055 | Lakefront Eye Care, Llc
1931 Sheridan Blvd, Suite S,
Edgewater, CO 80214-1316
Ph: (303) 578-8055 |
Reviews and Comments