| NPI | 1215124169 | 
|---|---|
| Doing Business As | FAMILY VISION CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | MARTIN B GRESAK Owner 304-599-2828 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WV 748-OD) | 
| Enumeration Date | 2007-09-25 | 
| Last Update Date | 2008-01-08 |