Trang Pham Prosak, O.D.

Optometrist · Wright Patterson Afb, OH

Individual Active NPI

NPI number 1558771105

Practice location

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone
(937) 656-0970

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NPI record

NPI
1558771105
Entity type
Individual (Type 1)
Enumeration date
May 5, 2014
Last updated
July 15, 2021
Certified
July 15, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 8797 TX

About Dr. Prosak

Trang Pham Prosak, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529. The NPI number 1558771105 was assigned on May 5, 2014 and the record was last updated on July 15, 2021.

Dr. Prosak lists a license in the registry: #8797 (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Trang Pham Prosak, O.D.?

The NPI number is 1558771105.

What is the phone number of Dr. Prosak?

The phone number listed for the practice location is (937) 656-0970.

Where is Dr. Prosak located?

4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529.

What is the taxonomy code for Dr. Prosak?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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