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Mark Licatino, O.D.
NPI 1083690051 · Optometrist · Bastrop, TX
Mark Licatino, O.D. is a Optometrist provider in Bastrop, TX (NPI 1083690051).
Provider details
- NPI number
- 1083690051
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2442TG (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
85 Loop 150 W
Bastrop, TX 78602-3930
Phone: (512) 303-7300
Fax: (512) 303-2148
Street-level locationGet directions
Mailing address
5717 Balcones Dr
Austin, TX 78731-4203
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2010-02-01
Frequently asked questions
- What is Mark Licatino's NPI number?
- Mark Licatino's National Provider Identifier (NPI) is 1083690051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Licatino's specialty?
- Mark Licatino is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Mark Licatino located?
- Mark Licatino's practice location on file with NPPES is 85 Loop 150 W, Bastrop, TX 78602-3930.
- What is Mark Licatino's phone number?
- The practice phone number listed in the NPPES registry for Mark Licatino is (512) 303-7300.
- Is Mark Licatino's NPI active?
- Yes — Mark Licatino's NPI (1083690051) is active in the NPPES registry as of the last update on 2010-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.