Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES FREDERICK TIEXEIRA, LDO
Active Sole ProprietorCHARLES FREDERICK TIEXEIRA, LDO is a Optician, Dispensing healthcare provider located in KENMORE, New York. NPI 1366614133 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · KENMORE, NY
Registration Details
- NPI Number
- 1366614133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2008 (18.377369541063 yrs)
- Last Updated
- Apr 1, 2008
- License
-
C005693-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2864 DELAWARE AVEKENMORE, NY, 142172731Browse NY providers · Browse ZIP 14217
- Phone
- 7168744119
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.