Adam Motacek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ND704 Issued in ND

Practice address

1300 Gateway Dr S
Fargo, ND 58103-3509

Phone

(701) 235-0280

Fax

(701) 235-3326

NPI assigned

Oct 14, 2009

Last updated

Dec 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

20-20 Vision Express LLCGroup PAC ID 8022269430, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 Care Compare group NPD

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1568797124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 10TH AVENUE NE APARTMENT 214",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012866",
            "telephone_number": "701-320-5902"
        },
        {
            "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",
            "fax_number": "701-235-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTACEK",
        "first_name": "ADAM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "ND704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter R Mosher, APRN, CNP
• Stephanie Kaye Mosley, DPT
• Christopher Mark Mostad
• Janelle Mostad, AUD
• Aaron Larry Motacek, OD
• Ashley Marie Motacek, O.D.
• Motivate Minds LLC
• Lauren Moug
• Krista Marie Mougey
• Adrianna Moum, DO

• 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 Dec 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.