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Organization

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

Active
Other names
Brain 2 Eye Training Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATRINA LIESKE OD (OWNER)
(817) 271-8563
Entity
Organization

Contact information

Practice address
5412 BOAT CLUB RD STE 100, FORT WORTH, TX 76135-1206
(817) 546-9000
Mailing address
4257 SAN SIMEON LN, FORT WORTH, TX 76179-6803
(817) 456-4031

Taxonomy

Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
152WS0006X
Sports Vision Optometrist
152WV0400X
Vision Therapy Optometrist
Primary
152WX0102X
Occupational Vision Optometrist

Other

Enumeration date
04/17/2019
Last updated
12/28/2021
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