| Dr Trang Pham Prosak, OD | |
|
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (937) 656-0970 | |
| Not Available |
| Full Name | Dr Trang Pham Prosak |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 11 Years |
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558771105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8797 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cei Physicians Psc, Llc | 0749186427 | 150 |
| Provider Name | Cei Physicians Psc, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942296298 PECOS PAC ID: 0749186427 Enrollment ID: O20031211001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Trang Pham Prosak, OD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: () - | Dr Trang Pham Prosak, OD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 656-0970 |
Dr. Darrell A. Rousse, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2510 5th St Bldg 840, Wright Patterson Afb, OH 45433 Phone: 937-938-2681 | |
Dr. Ryan Lee Traver, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-4509 | |
Dr. Syreeta D Lawrence, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 | |
Dr. Erica Lynn Poole, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-938-3871 | |
Steven K Weekes, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, 88mdg/sgpe, Wright Patterson Afb, OH 45433 Phone: 937-904-8426 | |
Austen Tanner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-938-2677 |