Gresak, Martin B

Gresak, Martin B is an sole proprietor health care provider with primary practice located at 918 Chestnut Ridge Rd Ste 7, Morgantown WV 26505-2822. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Gresak, Martin B can be contacted via phone (304) 599-2828.

Contact Information

Primary practice address
918 Chestnut Ridge Rd Ste 7 Morgantown WV 26505-2822
Phone: (304) 599-2828
Fax: (304) 599-7545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 748-OD West Virginia

Profile Details

NPI number 1417952037
LBN Legal business name Gresak, Martin B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jul 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417952037 NPPES
West Virginia Other 111052 EYE-MED
West Virginia Other 44711 EYE-MED
West Virginia Other 0577680001 EYE-MED
West Virginia Other WV1285189 EYE-MED

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