Kirk Matoba, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003370 Issued in CO

Practice address

200 Union Blvd Ste 415
Lakewood, CO 80228-1832

Phone

(303) 988-2777

NPI assigned

Mar 5, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Matoba Optometrists LLCGroup PAC ID 6507148517, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Matoba Optometrists LLC

  • Optometrist
  • Lakewood, CO
  • NPI 1518400571
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1073015160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 415",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281832",
            "telephone_number": "303-988-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 415",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281832",
            "telephone_number": "303-988-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOBA",
        "first_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Matlage
• Emily Ann Matoba, OD
• Esther Naomi Matoba, O.D.
• Glenn T Matoba, OD
• Joel Matoba, O.D.
• Robert Ken Matoba, O.D.
• Mats Medical Supply LLC.
• Kevin Alexander Matson
• Thomas Kenneth Matsui, DDS
• Matt Trowbridge Counseling

• Optometrist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.