# MARTIN B. GRESAK , O.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** family vision clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215124169
- **Authorized official:** MARTIN B GRESAK OD (OWNER)
- **Authorized official phone:** (304) 599-2828

## Contact information

- **Practice address:** 301 JEFFERSON AVE, MOUNDSVILLE, WV 26041-1639
- **Practice address phone:** (304) 845-2590
- **Mailing address:** 301 JEFFERSON AVE, MOUNDSVILLE, WV 26041
- **Mailing address phone:** (304) 845-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 748-OD | WV | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 01/08/2008