person
Mia Kercado, LDO
Optician in Bristol, Connecticut
NPI 1902673957

Mia Kercado is a Optician based in Bristol, CT and is specialized in Optician. Mia Kercado practices in Bristol, CT and has the professional credentials of LDO. The NPI Number for Mia Kercado is 1902673957 and holds a License No. 1900 (Connecticut).

The current practice location address for Mia Kercado is 1400 Farmington Ave, Bristol, CT and can be reached out via phone at 860-585-1156 and via fax at 860-585-1160.

Location: 1400 Farmington Ave, Bristol, CT, 06010-4701
person
Provider Profile Details
NPI Number
1902673957
Provider Name
Mia Kercado
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
1400 Farmington Ave, Bristol, CT, 06010-4701
Phone Number
860-585-1156
Fax Number
860-585-1160
Provider Enumeration Date
12/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Farmington Ave
City
State
Zip
06010-4701
Phone Number
860-585-1156
Fax Number
860-585-1160
person
Provider Business Mailing Address Details
Address
1400 Farmington Ave
City
State
Zip
06010-4701
Phone Number
860-585-1156
Fax Number
860-585-1160
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1900 (Connecticut)
Definition
Definition to come...
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