Individual
DR. ROBERT KEN MATOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 UNION BLVD, SUITE 415, LAKEWOOD, CO 80228-1830
(303) 988-2777
(303) 988-8855
Mailing address
200 UNION BLVD, SUITE 415, LAKEWOOD, CO 80228-1830
(303) 988-2777
(303) 988-8855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1378
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79637256
—
CO
01
—
CO303184
MEDICARE PTAN
CO
Enumeration date
12/01/2005
Last updated
03/27/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us