Organization
MARTIN B. GRESAK , O.D.
Active
Other names
family vision clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN B GRESAK OD (OWNER)
(304) 599-2828
Entity
Organization
Contact information
Practice address
301 JEFFERSON AVE, MOUNDSVILLE, WV 26041-1639
(304) 845-2590
Mailing address
301 JEFFERSON AVE, MOUNDSVILLE, WV 26041
(304) 845-2590
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
748-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000171370
MTN ST BC/BS
WV
05
—
0150739000
—
WV
01
—
748
HEALTH PLAN
—
Enumeration date
09/25/2007
Last updated
01/08/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us