An LED light fixture with enhanced thermal management. The fixture may be in a surface-mounted or a recessed configuration. The LED is attached with thermally-conductive material, such as thermal transfer tape, to a heat sink or housing. The heat sink may comprise a number of cooling fins to radiate heat, as well as a number of openings to promote cooling air flow. A variety of reflector assemblies can be used for different optical and aesthetic configurations. One or more lenses may be used.