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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 O.D., FCOVD, P.A.

NPI Number 1053974741
LBN Legal business name TRINA LIESKE O.D., FCOVD, P.A.
Authorized official KATRINA LIESKE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2019
Last updated 12/28/2021 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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