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Contact Information

TRINA LIESKE O.D., FCOVD, P.A.
5412 BOAT CLUB RD STE 100
FORT WORTH, TX76135-1206
 Phone: 817-546-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for TRINA LIESKE OD FCOVD PA · (Female)

NPI # 1053974741
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2019
Last updated 12/28/2021 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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