| Trina Lieske Od Pa | |
|
5412 Boat Club Rd Ste 150, Fort Worth, TX 76135-1205 | |
| (817) 546-9000 | |
| (817) 546-1126 |
| Full Name | Trina Lieske Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5412 Boat Club Rd Ste 150, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609075696 | NPI | - | NPPES |
| 0030FG | Other | TX | BCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Katrina R Lieske |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477542470 PECOS PAC ID: 2163554569 Enrollment ID: I20100721000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Trina Lieske Od Pa 5412 Boat Club Rd Ste 150, Fort Worth, TX 76135-1205 Ph: (817) 546-9000 | Trina Lieske Od Pa 5412 Boat Club Rd Ste 150, Fort Worth, TX 76135-1205 Ph: (817) 546-9000 |
Dr. Tyler T Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2720 Western Center Blvd, Suite 316, Fort Worth, TX 76131 Phone: 817-847-9000 | |
Hong Zeng, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7108 Camp Bowie Blvd, Fort Worth, TX 76116 Phone: 817-738-3191 | |
Barbara Ellen Hyler Stivala, OD Optometrist Medicare: Medicare Enrolled Practice Location: 655 Taylor St, Fort Worth, TX 76102 Phone: 817-289-6800 Fax: 817-289-6825 | |
Dr. David L. Spivey, D.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7125 N Beach St, Fort Worth, TX 76137 Phone: 817-232-2321 Fax: 817-232-4933 | |
Art Of Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2245 Jacksboro Hwy, Fort Worth, TX 76114 Phone: 682-707-7730 | |
Texas Family Vision Center Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3401 Golden Triangle Blvd # 121, Fort Worth, TX 76177 Phone: 817-290-4959 Fax: 817-290-4958 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 Eastchase Pkwy Ste 230, Fort Worth, TX 76120 Phone: 817-505-1741 |