Organization Active NPI

Marty J. Mrachek OD LTD

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1154468767
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARTY J. MRACHEK OD LTD
Practice address
1300 E Lasalle Dr Ste 2
Bismarck, ND 58503-5716
Phone
(701) 557-1574
Fax
(701) 557-1649
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marty Mrachek, O.D.NPI 1104963099
Title
President
Phone
(701) 255-8490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1300 E Lasalle Dr Ste 2
Bismarck, ND 58503-5716

Mailing address

1300 E Lasalle Dr Ste 2
Bismarck, ND 58503-5716
Phone (701) 557-1574

Other practice location 1

537 S 7th St
Bismarck, ND 58504-5859
Phone (701) 255-8490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081013000043 ND Part B Supplier - Clinic/Group Practice 6204904659 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1154468767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E LASALLE DR STE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035716",
            "telephone_number": "701-557-1574",
            "fax_number": "701-557-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E LASALLE DR STE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035716",
            "telephone_number": "701-557-1574",
            "fax_number": "701-557-1649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585045859",
            "country_code": "US",
            "telephone_number": "701-255-8490",
            "fax_number": "701-255-9349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARTY J. MRACHEK OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MRACHEK",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-255-8490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.