| Stacy Allison Bragg, OD | |
|
7901 Watt Ave, Antelope, CA 95843-2000 | |
| (916) 332-4904 | |
| Not Available |
| Full Name | Stacy Allison Bragg |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 7901 Watt Ave, Antelope, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447389796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 12909 (California) | Primary |
| Provider Name | Regency Eye Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760135982 PECOS PAC ID: 4486034550 Enrollment ID: O20220707000390 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Allison Bragg, OD 3633 Kingsport Way, Sacramento, CA 95826-5247 Ph: () - | Stacy Allison Bragg, OD 7901 Watt Ave, Antelope, CA 95843-2000 Ph: (916) 332-4904 |
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5821 Antelope North Rd, Antelope, CA 95843 Phone: 916-723-0900 | |
Jaskiran Kaur, Optometrist Medicare: Medicare Enrolled Practice Location: 7833 Scheidler Way, Antelope, CA 95843 Phone: 916-200-9708 | |
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7901 Watt Ave, Antelope, CA 95843 Phone: 916-332-4904 Fax: 916-332-6541 |