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NPI 1912052234ActiveOrganization· Optometrist· Jamestown, ND
Optometrist in Jamestown, North Dakota, registered in NPPES in January 2007. The authorized official on file is Lawrence J. Motacek, OD, Manager. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1912052234 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2007 |
| Last updated in NPPES | Jul 31, 2024 |
| Certified by provider | Jul 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 486 | ND |
| Optometrist | 152W00000X | 502 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (ND); Part B Supplier - Clinic/Group Practice (ND) |
|---|
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