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DR. MARK ANTHONY LICATINO O.D.
NPI 1083690051
Optometrist in Bastrop, TX

Active since December 21, 2005
85 LOOP 150 W, BASTROP, TX 78602(512) 303-7300(512) 303-2148 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Anthony Licatino O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK ANTHONY LICATINO O.D. (NPI 1083690051) is an individual optometrist in Bastrop, Texas, licensed in Texas (2442TG) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1083690051
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK ANTHONY LICATINOCredential: O.D.
Location Address85 LOOP 150 WBastrop, TX 78602-3930
Mailing Address5717 Balcones DrAustin, TX 78731-4203 · (512) 327-7000 · Fax (512) 314-1660
Phone(512) 303-7300
Fax(512) 303-2148
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateFebruary 1, 2010
✔ NPI 1083690051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 2442TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
85 LOOP 150 W, Bastrop, TX 78602
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Other Identifiers 16

Medicare PIN410032042SC
Medicare PIN89M677TX
Other4511497TX · Aetna
Other32787-013NY · Davis Vision
Medicare PIN88Y393TX
Other911390TX · Block Vision
Other146573100First Care
Medicaid117899802TX
Medicare PIN410029157SC
Other10013121TX · Amerigroup
OtherTX2442OH · Eyemed
Other8114413TX · Bluelink
OtherVP11653Ge Wellness
Other88Y393TX · Blue Cross Blue Shield
Medicaid117899803TX
Medicare UPINT14413

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEIGH P ZIEGLER O.D.
Optometrist
85 LOOP 150 W
BASTROP, TX 78602
Bastrop County (512) 327-7000
TEXAS VISION CLINIC PLLC
Eyewear Supplier
85 LOOP 150 W
BASTROP, TX 78602
Bastrop County (512) 321-2106
DR. BENJAMIN JASON TROWBRIDGE D.C.
Chiropractor
85 LOOP 150 W
BASTROP, TX 78602
Bastrop County (512) 332-2777
ATLAS PAIN INSTITUTE, LLC
Chiropractor
85 LOOP 150 W
BASTROP, TX 78602
Bastrop County (512) 332-2777
DR. DAVID RUSSELL TAUCH O.D.
Optometrist
85 LOOP 150 W
BASTROP, TX 78602
Bastrop County (512) 303-7300

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 Mark Licatino's NPI number?

The NPI number for Mark Licatino is 1083690051. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Mark Licatino located?

Mark Licatino practices at 85 Loop 150 W, Bastrop, TX 78602. The listed phone number is (512) 303-7300.

What is Mark Licatino's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Mark Licatino was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.