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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIA KERCADO, LDO

Active

MIA KERCADO, LDO is a Optician, Dispensing healthcare provider located in BRISTOL, Connecticut. NPI 1902673957 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · BRISTOL, CT

Registration Details

NPI Number
1902673957
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2023 (2.4858469838995 yrs)
Last Updated
Dec 11, 2023
License
1900 (CT)

Practice Information

Address
1400 FARMINGTON AVE
BRISTOL, CT, 060104701
Browse CT providers · Browse ZIP 06010
Phone
8605851156
Fax
8605851160
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in BRISTOL, CT

Name Credential NPI
DONAT JUTRAS LO 1154702041
RUTHY OROZCO 1215385604
JUSTYNA KANIEWSKI 1912355215
MS. MARY W FLORIO LICENSED OPTICIAN 1346699451
MR. JOSEPH R BARANOWSKAS JR. LICENSED OPTICIAN 1366891376
AMY M PAGINI 1619428927
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.