Trang Pham Prosak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8797 Issued in TX

Practice address

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529

Phone

(937) 656-0970

NPI assigned

May 5, 2014

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Trang Thu Pham Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trang.prosak.p1@direct.cei.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cei Physicians PSC LLC

  dba Cincinnati Eye Institute

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1942296298

  Optometrist

  Medicare reassignment Care Compare group NPD
• Cei Physicians PSC, LLC

  dba Cleveland Surgical Suites

  • Ambulatory Surgical Clinic/Center
  • Richmond Heights, OH
  • NPI 1891406328
  NPD
• Cei Physicians PSC LLC

  dba CVP Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Blue Ash, OH
  • NPI 1790772804
  NPD (past)
• Dayton Eye Associates

  • Eyewear Supplier
  • Dayton, OH
  • NPI 1275657728
  NPD (past)
• Dayton Eye Associates Inc

  • Specialist
  • Dayton, OH
  • NPI 1356365944
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1558771105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-656-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSAK",
        "first_name": "TRANG",
        "middle_name": "PHAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRANG",
            "last_name": "PHAM",
            "middle_name": "THU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Lee Poole, PSY.D.
• Raymond L. Poole, PSY.D.
• Steven Lawrence Pope, CRNA
• Michael Poth, D.D.S., M.S.
• Marion Powell, M.D.
• Helen Pruitt
• Vanessa Putnam, CNP
• Mitchell James Radigan, D.O.
• Michael Raischel
• Nimisha Rajesh, PSYD

• Optometrist in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.