Active NPI
Robert K and Esther Naomi Matoba
- Optometrist
- Lakewood, CO
National Provider Identifier
1649420571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ROBERT K AND ESTHER NAOMI MATOBA
- Doing business as
- DRS MATOBA OPTOMETRISTS
- Practice address
- 200 Union Blvd
Ste 415
Lakewood, CO 80228-1830 - Phone
- (303) 988-2777
- NPI assigned
- Sep 29, 2008
- Reactivated
- Sep 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Esther Naomi Matoba, OD
- Title
- Owner/Optometrist
- Phone
- (303) 988-2777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
200 Union Blvd
Ste 415
Lakewood, CO 80228-1830
Mailing address
200 Union Blvd
Ste 415
Lakewood, CO 80228-1830
Phone (303) 988-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90952740 | Medicaid | CO |
Other names 1
- DRS MATOBA OPTOMETRISTS
National Provider Directory
National Provider DirectoryLocations
200 Union Blvd
Ste 415
Lakewood, CO 80228
Phone (303) 988-2777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459814400000",
"number": "1649420571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNION BLVD",
"address_2": "STE 415",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281830",
"telephone_number": "303-988-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNION BLVD",
"address_2": "STE 415",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281830",
"telephone_number": "303-988-2777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT K AND ESTHER NAOMI MATOBA",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-29",
"last_updated": "2016-04-05",
"deactivation_date": "2009-01-21",
"reactivation_date": "2009-09-29",
"status": "A",
"authorized_official_last_name": "MATOBA",
"authorized_official_first_name": "ESTHER",
"authorized_official_middle_name": "NAOMI",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "303-988-2777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90952740",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DRS MATOBA OPTOMETRISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.