Organization Active NPI

Robert K and Esther Naomi Matoba

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1649420571
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Apr 5, 2016

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
90952740MedicaidCO

Other names 1

  • DRS MATOBA OPTOMETRISTS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.