MARTIN B GRESAK (NPI# 1417952037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417952037 |
| Entity Type | Individual |
| Full Name | MARTIN B GRESAK |
| Credential | O.D. |
| Practice Address |
918 Chestnut Ridge Rd Ste 7 Morgantown WV 26505-2822 |
| Practice Telephone | 3045992828 |
| Practice Fax Number | 3045997545 |
| Mailing Telephone | 3045992828 |
| Mailing Fax Number | 3045997545 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2008-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 | DEMERC | 0577680001 | 01 |
| WV | EYE-MED | 111052 | 01 |
| WV | DAVIS VISION | 44711 | 01 |
| WV | FUNDS/UMWA | WV1285189 | 01 |
| Street Address |
918 CHESTNUT RIDGE RD STE 7 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306963434 | Emmanuel Munoz-posada | General Practice | 918 Chestnut Ridge Rd, Ste 9, Morgantown, WV 26505-2822 | 2007-03-23 |
| 1497891220 | Priority Care Medical Group, Inc | Chiropractor | 918 Chestnut Ridge Rd, Suite 9, Morgantown, WV 26505-2822 | 2007-01-29 |
| 1639246887 | Gregory Alan Lacy | Dentist | 918 Chestnut Ridge Rd, Suite 5, Morgantown, WV 26505-2822 | 2006-11-30 |
| 1770650012 | Michael Anthony Hazey IIi | Dentist | 918 Chestnut Ridge Rd, Suite #5, Morgantown, WV 26505-2822 | 2006-11-30 |
| 1659448991 | Alvin Frank Weidman Jr. | Dentist | 918 Chestnut Ridge Rd, Suite #5, Morgantown, WV 26505-2822 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| 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 |
| 1336144294 | Thomas A Stout | Optometrist | 3000 Hampton Ctr, Ste A, Morgantown, WV 26505-1708 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801851316 | Mitchell Lee Koerber | Optometrist | 442 Highland Ave, Williamstown, WV 26187-1249 | 2006-04-18 |
| 1508869298 | Larry Wayne Carr | Optometrist | 214 Washington St, Saint Marys, WV 26170-1041 | 2005-05-27 |
| 1215124169 | Martin B. Gresak, O.d. | Optometrist | 301 Jefferson Ave, Moundsville, WV 26041-1639 | 2007-09-25 |
| 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 |
| 1750346300 | Joanna Gail Frame | Optometrist | 416 Division St, Parkersburg, WV 26101-5619 | 2006-04-18 |
| 1871580548 | Dennis Wayne Hedrick | Optometrist | 806 Greenbrier St, Charleston, WV 25311-1527 | 2005-09-28 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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| 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.