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 |
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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 |
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1558771105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 8797 (Texas) | Primary |
Provider Name | Baylor College Of Medicine |
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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 |
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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 |
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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: Not Enrolled in Medicare 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 |