GLENN T MATOBA (NPI# 1457404311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457404311 |
| Entity Type | Individual |
| Full Name | GLENN T MATOBA |
| Credential | OD |
| Practice Address |
14500 W Colfax Ave Lakewood CO 80401-3203 |
| Mailing Address |
16581 W Ellsworth Ave Golden CO 80401-6540 |
| Practice Telephone | 3032739953 |
| Practice Fax Number | 3032739955 |
| Mailing Telephone | 3032771349 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 9539 | CA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | CO1484 | CO | Eye and Vision Services Providers |
| Street Address |
14500 W COLFAX AVE |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80401-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083630230 | Sowash Optometry Group PC | Eyewear Supplier (Equipment, not the service) | 14500 W Colfax Ave, 524, Lakewood, CO 80401-3203 | 2006-07-14 |
| 1457793622 | Marguerite Bryan | Pharmacist | 14500 W Colfax Ave, Lakewood, CO 80401-3203 | 2013-07-29 |
| 1427342476 | Daniel Leigh Vaudt | Pharmacist | 14500 W Colfax Ave, Lakewood, CO 80401-3203 | 2011-06-07 |
| 1376733709 | Shawn Ryan Cottrell | Optometrist | 14500 W Colfax Ave, Lakewood, CO 80401-3203 | 2007-08-01 |
| 1770633505 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 14500 W Colfax Ave, Lakewood, CO 80401-3203 | 2007-01-12 |
| 1306926753 | Mark Alan Steinbrecher | Optometrist | 14500 W Colfax Ave, Ste 309, Lakewood, CO 80401-3203 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315152 | Ruth Lucia Settak | Social Worker | 17301 W. Colfax Ave., Ste 200, Golden, CO 80401 | 2020-10-28 |
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1255853826 | Angela Kathryn Brickman | Behavior Technician | 714 Ridgeside Drive, Golden, CO 80401 | 2017-07-14 |
| 1710408240 | Catherine Camacho | Psychologist | 913 Arapahoe St, Golden, CO 80401 | 2017-07-06 |
| 1710420492 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 17101 S Golden Rd., Golden, CO 80401 | 2016-11-29 |
| 1366991051 | Britta Marie Olson | Physical Therapist | 600 Golden Ridge Rd, Suite 130, Golden, CO 80401 | 2016-09-23 |
| 1003284209 | Maria Alta Mcvey | Dental Hygienist | 2305 Jackson St., Golden, CO 80401 | 2015-09-04 |
| 1548644479 | Christine Rodriguez | Dental Hygienist | 2305 Jackson Street, Golden, CO 80401 | 2015-07-09 |
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| 1942644844 | Golden Kids Dental | Dentist | 2421 Ford St., Golden, CO 80401 | 2013-04-22 |
| Find all providers in zip 80401 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760863 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 2020 Wadsworth Blvd Ste 11, Lakewood, CO 80214-5728 | 2020-11-03 |
| 1811515075 | Lindee Jo Lorig | Optometrist | 5216 Montair Ave, Lakewood, CA 90712-2749 | 2020-07-13 |
| 1013564228 | National Vision Inc | Optometrist | 98 Wadsworth Blvd Unit 118, Lakewood, CO 80226-1552 | 2019-08-22 |
| 1700439528 | Cody F. Jackson | Optometrist | 14500 W Colfax Ave Unit 524, Lakewood, CO 80401-3235 | 2019-07-21 |
| 1710548904 | Metrowest Eye Associates, P.C. | Optometrist | 8585 W 14th Ave Ste C, Lakewood, CO 80215-4860 | 2019-06-27 |
| 1770033466 | Joel Matoba | Optometrist | 200 Union Blvd Ste 415, Lakewood, CO 80228-1832 | 2016-10-06 |
| 1275985616 | Lauren Sowash | Optometrist | 355 S Wadsworth Blvd Unit D, Lakewood, CO 80226-3136 | 2016-07-11 |
| 1548610066 | Brett Igbinoba | Optometrist | 9101 Bridgeport Way Sw Ste C, Lakewood, WA 98499-2419 | 2016-06-15 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1043604051 | Dr. Phung Quach, Od Inc. | Optometrist | 11421 Carson St Ste F, Lakewood, CA 90715-2500 | 2015-03-27 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.