Martin B. Gresak , O.d., NPI 1215124169
Corneal and Contact Management Optometrist in Moundsville, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1215124169
NPI Entity Type Organization
Provider Name Martin B. Gresak , O.d.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 301 Jefferson Ave, Moundsville, WV, US
Provider Mailing Address 301 Jefferson Ave, Moundsville, WV, US, 26041
Is Sole Proprietor? No
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Organization Official

Official Name OD Martin B Gresak
Official Position OWNER
Phone 304-599-2828

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

152WC0802X

Taxonomy Name Corneal and Contact Management Optometrist
Classification

Optometrist

Group

Eye and Vision Services Providers

License No. 748-OD
License State WV
Description The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Other Organization Name

family vision clinic
Doing Business As

Business Address

Martin B. Gresak , O.d.
301 Jefferson Ave

Moundsville, WV, US

Phone: 304-845-2590

Mailing Address

Martin B. Gresak , O.d.
301 Jefferson Ave
Moundsville, WV, US
ZIP 26041
Phone: 304-845-2590

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0150739000 WV MEDICAID 05
748 HEALTH PLAN 01
000171370 WV MTN ST BC/BS 01

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