| 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 | Optometrist | 
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558771105 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 8797 (Texas) | Primary | 
| Provider Name | Baylor College Of Medicine | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1053352914 PECOS PAC ID: 8224941265 Enrollment ID: O20031106000562  | 
| Provider Name | University Of Houston System | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1861493140 PECOS PAC ID: 6901896356 Enrollment ID: O20041005000564  | 
| 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  |