Aaron Larry Motacek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

773 Issued in ND

Practice address

1300 Gateway Dr S
Fargo, ND 58103-3509

Phone

(701) 235-0280

NPI assigned

May 23, 2020

Last updated

May 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 20-20 Vision Express LLC

  • Clinic/Center
  • Fargo, ND
  • NPI 1922350636
  Medicare reassignment NPD
• Virtue Eye Care, LLC

  dba Virtue Eye Care

  • Optometrist
  • Fargo, ND
  • NPI 1588267439
  NPD Authorized official

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1497378525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 28TH AVE S APT 404",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049020",
            "telephone_number": "701-320-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 GATEWAY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033509",
            "telephone_number": "701-235-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTACEK",
        "first_name": "AARON",
        "middle_name": "LARRY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Mosey, D.C.
• Carter R Mosher, APRN, CNP
• Stephanie Kaye Mosley, DPT
• Christopher Mark Mostad
• Janelle Mostad, AUD
• Adam Motacek, O.D.
• Ashley Marie Motacek, O.D.
• Motivate Minds LLC
• Lauren Moug
• Krista Marie Mougey

• Optometrist in Fargo, ND
• Providers in Fargo, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.