Vision City Of Lake Worth

LBN: Trina Lieske Od Pa
Vision City Of Lake Worth is an health care organization with primary practice located at 5412 Boat Club Rd Ste 150 , Fort Worth TX 76135-1205. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Trina Lieske Od Pa can be contacted via phone (817) 546-9000, or through Lieske, Trina via phone (817) 546-9000.

Contact Information

Primary practice address
5412 Boat Club Rd Ste 150 Fort Worth TX 76135-1205
Phone: (817) 546-9000
Fax: (817) 546-1126
Website:
Map and Directions
Authorized official contact:
Name: Lieske, Trina Doctor of Optometry (OD)
Phone: (817) 546-9000

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1609075696
LBN Legal business name Trina Lieske Od Pa
DBA Doing business as Vision City Of Lake Worth
Authorized official Lieske, Trina Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Dec 28th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609075696 NPPES
Texas Other 0030FG BCBS PROVIDER #

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