# LAKEFRONT EYE CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003292954
- **Authorized official:** DR. JILL MARGARET BERT (OWNER)
- **Authorized official phone:** (708) 519-0123

## Contact information

- **Practice address:** 1931 SHERIDAN BLVD, SUITE S, EDGEWATER, CO 80214-1316
- **Practice address phone:** (303) 578-8055
- **Mailing address:** 1931 SHERIDAN BLVD UNIT S, EDGEWATER, CO 80214-1300
- **Mailing address phone:** (303) 508-8055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPT.0003048 | CO | — |
| 152WC0802X | Corneal and Contact Management Optometrist | OPT.0003048 | CO | Yes |
| 152WL0500X | Low Vision Rehabilitation Optometrist | OPT.0003048 | CO | — |
| 152WP0200X | Pediatric Optometrist | OPT.0003048 | CO | — |
| 152WS0006X | Sports Vision Optometrist | OPT.0003048 | CO | — |
| 152WV0400X | Vision Therapy Optometrist | OPT.0003048 | CO | — |
| 152WX0102X | Occupational Vision Optometrist | OPT.0003048 | CO | — |

## Other

- **Enumeration date:** 08/03/2015
- **Last updated:** 07/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 046010461 | — | IL |
| 05 | — | 63605376 | — | CO |