Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Trang Pham Prosak, OD

Individual provider Optometrist · NPI 1558771105

Dr. Trang Pham Prosak, OD is an Optometry in Wright Patterson AFB, Ohio. Graduated from Ohio State University - College of Optometry in 2014, 12 years ago. Practices with Cei Physicians PSC, LLC, a 153-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Trained at
Ohio State University - College of Optometry
Licensed in
TX
In the registry since
2014
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone: (937) 656-0970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8797 (TX)

Record details

NPI number1558771105
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 5, 2014
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2014 (12 years in practice)
Group practice Cei Physicians Psc, Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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