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Charles Frederick Tiexeira, LDO
Optician in Kenmore, New York
NPI 1366614133

Charles Frederick Tiexeira is a Optician based in Kenmore, NY and is specialized in Optician. Charles Frederick Tiexeira practices in Kenmore, NY and has the professional credentials of LDO. The NPI Number for Charles Frederick Tiexeira is 1366614133 and holds a License No. C005693-1 (New York).

The current practice location address for Charles Frederick Tiexeira is 2864 Delaware Ave, Kenmore, NY and can be reached out via phone at 716-874-4119.

Location: 2864 Delaware Ave, Kenmore, NY, 14217-2731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366614133
Provider Name
Charles Frederick Tiexeira
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
2864 Delaware Ave, Kenmore, NY, 14217-2731
Phone Number
716-874-4119
Fax Number
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2864 Delaware Ave
City
Kenmore
State
New York
Zip
14217-2731
Phone Number
716-874-4119
Fax Number
person
Provider Business Mailing Address Details
Address
2864 Delaware Ave
City
Kenmore
State
New York
Zip
14217-2731
Phone Number
716-874-4119
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
C005693-1 (New York)
Definition
Definition to come...
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