Dr. Mark Anthony Licatino is a Bastrop, Texas based male Optometrist who is specialized in Optometry. Active license number of Dr. Mark Anthony Licatino is 2442TG for Optometry in Texas. Dr. Mark Anthony Licatino 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Mark Anthony Licatino speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
85 Loop 150 W, Bastrop, Texas, 78602-3930
Phone:
512-303-7300
Fax:
512-303-2148
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1083690051
NPI Enumeration Date:
21 Dec, 2005
NPI Last Update On:
01 Feb, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Anthony Licatino are as mentioned below.
License Number
Specialization
State
Status
2442TG
Optometry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Anthony Licatino such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
911390
Other
Texas
BLOCK VISION
VP11653
Other
GE WELLNESS
117899802
Medicaid
Texas
10013121
Other
Texas
AMERIGROUP
117899803
Medicaid
Texas
146573100
Other
FIRST CARE
32787-013
Other
New York
DAVIS VISION
8114413
Other
Texas
BLUELINK
4511497
Other
Texas
AETNA
88Y393
Other
Texas
BLUE CROSS BLUE SHIELD
TX2442
Other
Ohio
EYEMED
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5717 Balcones Dr, Austin, Texas
Zip:
78731-4203
Phone Number:
512-327-7000
Fax Number:
512-314-1660
Patients can reach Dr. Mark Anthony Licatino at 85 Loop 150 W, Bastrop, Texas or can call to book an appointment on 512-303-7300. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.