Mark Licatino, O.D

NPI 1083690051 · on the registry since 2005

Practice

Address: 85 Loop 150 W
Bastrop, TX 78602
Phone: (512) 303-7300
Fax: (512) 303-2148
Organisation at this address: Texan Eye, Pa
Texas Vision Clinic Pllc
Atlas Pain Institute, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas