Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Mark Anthony Licatino, O.D.
Optometrist in Bastrop, TX · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1083690051
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Registry record
Entity type Individual (Type 1)
Name Dr. Mark Anthony Licatino
Credential O.D.
Sex Male
Practice address 85 Loop 150 W, Bastrop, TX, 78602
Phone (512) 303-7300
Fax (512) 303-2148
Enumeration date Dec 21, 2005
Last updated in NPPES Feb 1, 2010
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911390 | Other | TX | BLOCK VISION |
| VP11653 | Other | - | GE WELLNESS |
| 117899802 | Medicaid | TX | - |
| 10013121 | Other | TX | AMERIGROUP |
| 117899803 | Medicaid | TX | - |
| 146573100 | Other | - | FIRST CARE |
| 32787-013 | Other | NY | DAVIS VISION |
| 8114413 | Other | TX | BLUELINK |
| 4511497 | Other | TX | AETNA |
| 88Y393 | Other | TX | BLUE CROSS BLUE SHIELD |
| TX2442 | Other | OH | EYEMED |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Mark Licatino practice?
The practice location on file with NPPES is in Bastrop, TX. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mark Licatino?
The National Provider Identifier (NPI) for Mark Licatino is 1083690051, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → David Tauch Optometrist · Bastrop, TX NPI 1942286448 Leigh Ziegler Optometrist · Bastrop, TX NPI 1124093620 Benjamin Trowbridge Chiropractor · Bastrop, TX NPI 1528003928 Atlas Pain Institute, LLC Chiropractor · Bastrop, TX NPI 1710059126 Texas Vision Clinic Pllc Eyewear Supplier · Bastrop, TX NPI 1174022891
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-02-01.