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Dr. Mark Anthony Licatino, OD
Optometrist in Bastrop, Texas
NPI 1083690051

Mark Anthony Licatino is a Optometrist based in Austin, TX. Mark Anthony Licatino practices in Bastrop, TX and has the professional credentials of OD. The NPI Number for Mark Anthony Licatino is 1083690051 and holds a License No. 2442TG (Texas).

The current practice location address for Mark Anthony Licatino is 85 Loop 150 W, Bastrop, TX and can be reached out via phone at 512-303-7300 and via fax at 512-303-2148.

Location: 85 Loop 150 W, Bastrop, TX, 78731-4203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083690051
Provider Name
Mark Anthony Licatino
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
85 Loop 150 W, Bastrop, TX, 78731-4203
Phone Number
512-303-7300
Fax Number
512-303-2148
Provider Enumeration Date
12/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
911390 01 TX BLOCK VISION
VP11653 01 GE WELLNESS
117899802 05 TX
10013121 01 TX AMERIGROUP
117899803 05 TX
146573100 01 FIRST CARE
32787-013 01 NY DAVIS VISION
8114413 01 TX BLUELINK
4511497 01 TX AETNA
88Y393 01 TX BLUE CROSS BLUE SHIELD
TX2442 01 OH EYEMED
institution
Provider Business Practice Location Address Details
Address
85 Loop 150 W
City
Bastrop
State
Texas
Zip
78602-3930
Phone Number
512-303-7300
Fax Number
512-303-2148
person
Provider Business Mailing Address Details
Address
85 Loop 150 W
City
Bastrop
State
Texas
Zip
78602-3930
Phone Number
512-303-7300
Fax Number
512-303-2148
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
2442TG (Texas)
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.
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