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TRINA LIESKE O.D. FCOVD P.A. NPI 1053974741


NPI Information

NPI: 1053974741
Provider Name: TRINA LIESKE O.D., FCOVD, P.A.

Doing Business As: BRAIN 2 EYE TRAINING CENTER

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
5412 BOAT CLUB RD STE 100
FORT WORTH, TX
ZIP 76135
Phone: (817) 546-9000
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TRINA LIESKE O.D., FCOVD, P.A. is a vision therapy optometrist in Fort Worth, TX. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. TRINA LIESKE O.D., FCOVD, P.A. NPI is 1053974741. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brain 2 Eye Training Center.

The provider's business location address is:

5412 BOAT CLUB RD STE 100
FORT WORTH, TX
ZIP 76135-206
Phone: (817) 546-9000

The provider's authorized official is Katrina Lieske .
The authorized official title is Owner and has the following contact phone number (817) 271-8563.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 12/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WP0200XOptometristPediatricsNo
2152WS0006XOptometristSports VisionNo
3152WV0400XOptometristVision TherapyYes
4152WX0102XOptometristOccupational VisionNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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