DR. EMILY ANN MATOBA (OD) – Optometrist, NPI 1467938159

DR. EMILY ANN MATOBA (OD) is a healthcare provider. based in Lakewood, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.0003417 (CO). The NPI Number for DR. EMILY ANN MATOBA (OD) is 1467938159

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILY ANN MATOBA (OD)
NPI
1467938159
Phone
(303) 988-2777
Address
200 UNION BLVD STE 415
Enumeration Date
16 July 2018
Last Update Date
14 March 2023

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
3039882777
Graduation Year
2018 (8 years ago)
PAC ID
0941558431
Group Practice PAC ID
6507148517
Professional Enrollment ID
I20180731001226
Address ID
CO802281832LA200XXBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for DR. EMILY ANN MATOBA (OD)

  • 415, Union Boulevard, Lakewood, Jefferson County, Colorado, 80228, United States

    LAKEWOOD, CO 802281832

    Phone: (303) 988-2777

    Fax: (303) 988-8855

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $508.

Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Thea Pharma Inc. ($164).

Total Amount

$508

General + Research + Ownership

Payments

28

Total payment records

General Amount

$508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180731001226IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2413$0
65778Placement of amniotic membrane on eye surface for wound healing2116$0
92004New patient complete exam of visual system1515$0
92250Photography of the retina1212$0
View full utilization report →

Insurance plans in this area (ZIP 80228)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507148517View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

How do payers reference DR. EMILY ANN MATOBA (OD)?
For DR. EMILY ANN MATOBA (OD), use NPI 1467938159 as the unique 10-digit identifier.
Active or inactive — what applies to DR. EMILY ANN MATOBA (OD)?
You should see DR. EMILY ANN MATOBA (OD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. EMILY ANN MATOBA (OD)?
DR. EMILY ANN MATOBA (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. EMILY ANN MATOBA (OD) located near Lakewood?
DR. EMILY ANN MATOBA (OD) currently maps to Lakewood, Colorado in this extract.
Does DR. EMILY ANN MATOBA (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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