Trina Lieske O.D., Fcovd, P.a.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

TRINA LIESKE O.D., FCOVD, P.A.

Practice address

5412 Boat Club Rd Ste 100
Fort Worth, TX 76135-1206

Phone

(817) 546-9000

NPI assigned

Apr 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Katrina Lieske, ODNPI 1477542470

Title

Owner

Phone

(817) 271-8563

Specialties & licenses 4

Addresses

Other names 1

• Brain 2 Eye Training Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina Renee Lieske, OD

  • Optometrist
  • Fort Worth, TX
  • NPI 1477542470
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1053974741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4257 SAN SIMEON LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761796803",
            "telephone_number": "817-456-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 BOAT CLUB RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761351206",
            "telephone_number": "817-546-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINA LIESKE O.D., FCOVD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "LIESKE",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-271-8563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain 2 Eye Training Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brain 2 Eye Training Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Michelle Trickett, LCSW
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• Ha Trieu, OD
• Monty V Trimble, M.D
• Trina Lieske OD PA
• Andrea Thao Thanh Trinh
• Khai Trinh
• Lan Quynh Trinh, PA-C
• Ngoc Trinh, PHARM.D.

• Vision Therapy Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Vision Therapy Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.