Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Frederick Tiexeira, LDO

Individual provider Optician · NPI 1366614133

Charles Frederick Tiexeira, LDO is an Optician in Kenmore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2864 Delaware Ave
Kenmore, NY 14217-2731
Phone: (716) 874-4119
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence C005693-1 (NY)

Record details

NPI number1366614133
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedApril 1, 2008
Last updated in NPPESApril 1, 2008