MARTIN B. GRESAK , O.D. (NPI# 1215124169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215124169 |
| Entity Type | Organization |
| Organization Name | MARTIN B. GRESAK , O.D. |
| Other Organization Name | FAMILY VISION CLINIC |
| Practice Address |
301 Jefferson Ave Moundsville WV 26041-1639 |
| Mailing Address |
301 Jefferson Ave Moundsville WV 26041 |
| Practice Telephone | 3048452590 |
| Mailing Telephone | 3048452590 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2008-01-08 |
| Authorized Official Name | MARTIN B GRESAK (OWNER) |
| Authorized Official Telephone | 3045992828 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
748-OD | WV | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0150739000 | 05 | |
| HEALTH PLAN | 748 | 01 | |
| WV | MTN ST BC/BS | 000171370 | 01 |
| Other Name | Type Code |
|---|---|
| family vision clinic | Doing Business As Name - Organization |
| Street Address |
301 JEFFERSON AVE |
| City | MOUNDSVILLE |
| State | WV |
| Zip Code | 26041-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272577 | Tonya Sue Roush | Technician | 2056 Center Street, Moundsville, WV 26041 | 2019-02-21 |
| 1720568264 | Christina Robinson | Registered Nurse | Washington Lands Elementary, 116 School Rd., Moundsville, WV 26041 | 2018-08-15 |
| 1962935296 | Tracy A. Zang | Dentist | 112 Correctional Dr., Northern Regional Correctional Facility, Moundsville, WV 26041 | 2017-04-04 |
| 1154861052 | Andrea Garrison | Specialist/Technologist | 633 Blairs Ridge Rd, Moundsville, WV 26041 | 2017-02-27 |
| 1932643418 | First Settlement Physical Therapy | Physical Therapist | 1216 Lafayette Ave, Moundsville, WV 26041 | 2016-12-19 |
| 1245772177 | The Village Network | Community/Behavioral Health | 52 Fourteenth Street, Wheeling, WV 26041 | 2016-11-09 |
| 1144516683 | Sarah D Dean | Counselor | 324 7th and Lafayette Street, Moundsville, WV 26041 | 2011-06-23 |
| 1114101540 | Becky Poling | Speech-Language Pathologist | 2700 Eastern Fourth Street, Moundsville, WV 26041 | 2007-12-20 |
| 1871775213 | Cathy Jones | Registered Nurse | 2700 Fourth Street, Marshall County Board of Education, Moundsville, WV 26041 | 2007-11-28 |
| 1326262536 | Marshall County Health Department | Public Health or Welfare | 6th Street & Court Avenue, Moundsville, WV 26041 | 2007-04-12 |
| Find all providers in zip 26041 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992887731 | Monongalia Eye Clinic LLC | Optometrist | 3140 Collins Ferry Rd, Morgantown, WV 26505-3352 | 2006-10-20 |
| 1801851316 | Mitchell Lee Koerber | Optometrist | 442 Highland Ave, Williamstown, WV 26187-1249 | 2006-04-18 |
| 1417952037 | Martin B Gresak | Optometrist | 918 Chestnut Ridge Rd, Ste 7, Morgantown, WV 26505-2822 | 2005-06-20 |
| 1336144294 | Thomas A Stout | Optometrist | 3000 Hampton Ctr, Ste A, Morgantown, WV 26505-1708 | 2005-06-16 |
| 1508869298 | Larry Wayne Carr | Optometrist | 214 Washington St, Saint Marys, WV 26170-1041 | 2005-05-27 |
| 1831398510 | Michael R. Looper | Optometrist | 100 Buckhannon Crossroads, Buckhannon, WV 26201 | 2007-07-13 |
| 1659459592 | Optometric Physicians of Parkersburg Inc | Optometrist | 416 Division St, Parkersburg, WV 26101-5619 | 2006-11-01 |
| 1669569182 | Chaney Eye Care Pllc | Optometrist | 300 Madison Ave, Madison, WV 25130-1511 | 2006-10-06 |
| 1376508549 | Mark James Cinalli | Optometrist | 416 Division St, Parkersburg, WV 26101-5619 | 2006-04-19 |
| 1609831874 | Ronald David Frame | Optometrist | 416 Division St, Parkersburg, WV 26101-5619 | 2006-04-19 |
| Find all providers with the same taxonomy | ||||
| City | MOUNDSVILLE |
| Zip Code | 26041 |
Please comment or provide details below to improve the information on MARTIN B. GRESAK , O.D..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.