IndividualActive
Mia Kercado, LDO
NPI 1902673957 · Optician · Bristol, CT
Mia Kercado, LDO is a Optician provider in Bristol, CT (NPI 1902673957).
Provider details
- NPI number
- 1902673957
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- No
- License
- 1900 (CT)
Practice location
1400 Farmington Ave
Bristol, CT 06010-4701
Phone: (860) 585-1156
Fax: (860) 585-1160
Street-level locationGet directions
Mailing address
1400 Farmington Ave
Bristol, CT 06010-4701
Registry dates
- Enumerated
- 2023-12-11
- Last updated
- 2023-12-11
- Certified
- 2023-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.