National Provider Identifier
Charles Frederick Tiexeira, LDO
Charles Frederick Tiexeira, LDO is listed in the NPPES registry with a primary specialty of Optician in Kenmore, NY and a listed phone number of (716) 874-4119.
Profile Overview
- NPI
- 1366614133
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- April 01, 2008
- Last Updated
- April 01, 2008
Practice Location
- 2864 Delaware Ave
- Kenmore, NY 14217-2731
Phone: (716) 874-4119
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1366614133
- Entity Type
- Individual
- Last Name
- Tiexeira
- First Name
- Charles
- Middle Name
- Frederick
- Credential
- LDO
- Mailing Street Address
- 2864 Delaware Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2731
- Mailing Country
- US
- Mailing Phone
- (716) 874-4119
- Practice Street Address
- 2864 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2731
- Practice Country
- US
- Practice Phone
- (716) 874-4119
- Enumeration Date
- April 01, 2008
- Last Updated
- April 01, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)