Individual
DR. JAMES F BRAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1700 MCHENRY AVE, SUITE 77, MODESTO, CA 95350-4373
(209) 524-4626
Mailing address
1700 MCHENRY AVE, SUITE 77, MODESTO, CA 95350-4373
(209) 524-4626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05133T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942178998
TAX ID #
CA
Enumeration date
08/11/2005
Last updated
08/26/2011
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