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