Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ANTHONY LICATINO, O.D.
ActiveOptometrist · BASTROP, TX
Registration Details
- NPI Number
- 1083690051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2005 (20.3340657008 yrs)
- Last Updated
- Feb 1, 2010
- License
-
2442TG (TX)
Practice Information
- Address
-
85 LOOP 150 WBASTROP, TX, 786023930Browse TX providers · Browse ZIP 78602
- Phone
- 5123037300
- Fax
- 5123032148
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BASTROP, TX
| Name | Credential | NPI |
|---|---|---|
| DEBORAH SUSAN JONES | OD | 1275521726 |
| DR. DAVID RUSSELL TAUCH | O.D. | 1942286448 |
| LEIGH P ZIEGLER | O.D. | 1124093620 |
| ROBERT F RIEGLER | O.D. | 1376518480 |
| DR. DANIEL ESTEBAN | O.D. | 1942219183 |
| DR. PAMELA SUE SOLLY | O.D. | 1346252319 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.