Individual provider Active NPI

Esther Naomi Matoba, O.D.

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1558345751
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1317 Issued in CO
Practice address
200 Union Blvd
Suite 415
Lakewood, CO 80228-1830
Phone
(303) 988-2777
Fax
(303) 988-8855
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1317 CO Primary

Addresses

Primary practice location

200 Union Blvd
Suite 415
Lakewood, CO 80228-1830

Mailing address

200 Union Blvd
Suite 415
Lakewood, CO 80228-1830
Phone (303) 988-2777

Other identifiers 1

IdentifierTypeStateIssuer
08013179MedicaidCO

Other names 1

  • Dr. E Naomi Yano-Matoba Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041123000588 CO Practitioner - Optometry 1052376662 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Lakewood, CO

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1986
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)

200 Union Blvd
Suite 415
Lakewood, CO 80228-1832
Phone (303) 988-2777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1317COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Matoba Optometrists LLC Optometrist CurrentSince Nov 17, 2016 Accepting new patients

Locations

200 Union Blvd
Ste 415
Lakewood, CO 80228
Phone (303) 988-2777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1558345751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD",
            "address_2": "SUITE 415",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281830",
            "telephone_number": "303-988-2777",
            "fax_number": "303-988-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD",
            "address_2": "SUITE 415",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281830",
            "telephone_number": "303-988-2777",
            "fax_number": "303-988-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOBA",
        "first_name": "ESTHER",
        "middle_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT1317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08013179",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "YANO-MATOBA",
            "middle_name": "NAOMI",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.