VISION CITY OF LAKE WORTH
NPI 1609075696
Optometrist in Fort Worth, TX
About Vision City Of Lake Worth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISION CITY OF LAKE WORTH (NPI 1609075696) is a healthcare organization registered as an optometrist in Fort Worth, Texas and active in the NPI registry since July 2007. The organization lists Trina Lieske, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vision City Of Lake Worth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vision City Of Lake Worth, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Trina Lieske Od PA's NPI number?
The NPI number for Trina Lieske Od PA is 1609075696. It was assigned to this organization in the NPPES registry on July 11, 2007. The provider is doing business as Vision City Of Lake Worth.
Where is Trina Lieske Od PA located?
Trina Lieske Od PA is located at 5412 Boat Club Rd Ste 150, Fort Worth, TX 76135. The listed phone number is (817) 546-9000.
What is Trina Lieske Od PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Trina Lieske Od PA enrolled in Medicare?
Yes. Trina Lieske Od PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Trina Lieske Od PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Trina Lieske Od PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Trina Lieske Od PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Trina Lieske Od PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Trina Lieske Od PA was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vision City Of Lake Worth · NPI 1609075696
Optometrist organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since July 11, 2007.
## Identity
- **NPI:** 1609075696 (Entity type: Organization)
- **Enumerated:** July 11, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Trina Lieske Od Pa
- **Organization subpart:** No
- **Authorized official:** Trina Lieske, OWNER
## Practice location
- **Address:** 5412 BOAT CLUB RD STE 150, Fort Worth, TX 76135-1205
- **Phone:** (817) 546-9000 · **Fax:** (817) 546-1126
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2021
- **Other identifiers:** Other 0030FG (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1609075696) · Data from the CMS NPPES public registry.