Mia Kercado, LDO
Mia Kercado, LDO is an Optician in Bristol, Connecticut. Licensed in Connecticut. Registered with an NPI since 2023.
- Licensed in
- CT
- In the registry since
- 2023
Practice location Address checks out
1400 Farmington AveBristol, CT 06010-4701
Phone: (860) 585-1156
Fax: (860) 585-1160
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 1900 (CT) |
|---|
Record details
| NPI number | 1902673957 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LDO |
| Sole proprietor | No |
| NPI enumerated | December 11, 2023 |
| Last updated in NPPES | December 11, 2023 |
| Certification date | December 9, 2023 |
| Mailing address | 1400 Farmington Ave, Bristol, CT 06010-4701 |
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