Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Anthony Licatino, OD

Individual provider Optometrist · NPI 1083690051

Dr. Mark Anthony Licatino, OD is an Optometrist in Bastrop, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

85 Loop 150 W
Bastrop, TX 78602-3930
Phone: (512) 303-7300
Fax: (512) 303-2148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2442TG (TX)

Record details

NPI number1083690051
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 21, 2005
Last updated in NPPESFebruary 1, 2010

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