IndividualActive
Adam Motacek, O.D.
NPI 1568797124 · Optometrist · Fargo, ND
Provider details
- NPI number
- 1568797124
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ND704 (ND)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1300 Gateway Dr S
Fargo, ND 58103-3509
Phone: (701) 235-0280
Fax: (701) 235-3326
Approximate (ZIP-level) locationGet directions
Mailing address
1400 10th Avenue Ne Apartment 214
Jamestown, ND 58401-2866
Registry dates
- Enumerated
- 2009-10-14
- Last updated
- 2023-12-20
- Certified
- 2023-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.