DR. Mark Anthony Licatino O.D.

  • NPI 1083690051
According to our database, the NPI number for DR. Mark Anthony Licatino O.D. is 1083690051 and activated since 18 years ago. DR. Mark Anthony Licatino O.D. is an individual provider who specializes in Optometrist, and the primary practice location is 85 Loop 150 W, Bastrop, TX 78602. You can also contact DR. Mark Anthony Licatino O.D. via telephone number is (512) 303-7300. Provider NPI information was last updated on 02/01/2010.

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Overview of DR. Mark Anthony Licatino O.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/21/2005
  • Last updated: 02/01/2010

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2442TG
  • License State: TX

Provider Mailing Address

  • Address: 5717 Balcones Dr
    Austin, TX 78731
  • Phone: 512-327-7000
  • Fax: 512-314-1660

Provider Practice Location

  • Address: 85 Loop 150 W
    Bastrop, TX 78602
  • Phone: 512-303-7300
  • Fax: 512-303-2148

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2442TG
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 10013121
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: AMERIGROUP

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Mark Anthony Licatino O.D.?
  • A: The npi number for DR. Mark Anthony Licatino O.D. is 1083690051.
  • Q: What are DR. Mark Anthony Licatino O.D.'s specialties?
  • A: DR. Mark Anthony Licatino O.D.'s specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Mark Anthony Licatino O.D.?
  • A: The medical license number for DR. Mark Anthony Licatino O.D. is 2442TG and issued in TX in USA.
  • Q: Where is DR. Mark Anthony Licatino O.D. practice location?
  • A: DR. Mark Anthony Licatino O.D. is practicing at 85 Loop 150 W, Bastrop, TX 78602.
  • Q: How to contact DR. Mark Anthony Licatino O.D.?
  • A: You can contact DR. Mark Anthony Licatino O.D. via 512-303-7300.