Motacek, Lawrence J

Motacek, Lawrence J is an individual health care provider with primary practice located at 300 2Nd Ave Ne , Jamestown ND 58401. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Motacek, Lawrence J can be contacted via phone (701) 252-2020.

Contact Information

Primary practice address
300 2Nd Ave Ne Jamestown ND 58401
Fax: (701) 251-2801
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 486 North Dakota

Profile Details

NPI number 1114951951
LBN Legal business name Motacek, Lawrence J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114951951 NPPES
North Dakota Other 2200303 MEDICA
North Dakota Other 01013875 MEDICA
North Dakota MEDICAID 60463 MEDICA
North Dakota Other 0255160001 MEDICA
North Dakota Other 870486 MEDICA
North Dakota Other 410030693 MEDICA

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