Family Vision Clinic

LBN: Martin B. Gresak , O.D.
Family Vision Clinic is an health care organization with primary practice located at 301 Jefferson Ave , Moundsville WV 26041-1639. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Martin B. Gresak , O.D. can be contacted via phone (304) 845-2590, or through Gresak, Martin B via phone (304) 599-2828.

Contact Information

Primary practice address
301 Jefferson Ave Moundsville WV 26041-1639
Phone: (304) 845-2590
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gresak, Martin B Doctor of Optometry (OD)
Phone: (304) 599-2828

Health care specialties

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

Profile Details

NPI number 1215124169
LBN Legal business name Martin B. Gresak , O.D.
DBA Doing business as Family Vision Clinic
Authorized official Gresak, Martin B Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2007
Last updated Jan 8th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215124169 NPPES
West Virginia MEDICAID 0150739000
West Virginia Other 748
West Virginia Other 000171370

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