Individual
MARTIN B GRESAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
918 CHESTNUT RIDGE RD, STE 7, MORGANTOWN, WV 26505-2822
(304) 599-2828
(304) 599-7545
Mailing address
918 CHESTNUT RIDGE RD, STE 7, MORGANTOWN, WV 26505-2822
(304) 599-2828
(304) 599-7545
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
—
0577680001
DEMERC
WV
01
—
111052
EYE-MED
WV
01
—
44711
DAVIS VISION
WV
01
—
WV1285189
FUNDS/UMWA
WV
Enumeration date
06/20/2005
Last updated
07/14/2008
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