| Dr Mark Anthony Licatino, OD | |
|
85 Loop 150 W, Bastrop, TX 78602-3930 | |
| (512) 303-7300 | |
| (512) 303-2148 |
| Full Name | Dr Mark Anthony Licatino |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 85 Loop 150 W, Bastrop, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083690051 | NPI | - | NPPES |
| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2442TG (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Anthony Licatino, OD 5717 Balcones Dr, Austin, TX 78731-4203 Ph: (512) 327-7000 | Dr Mark Anthony Licatino, OD 85 Loop 150 W, Bastrop, TX 78602-3930 Ph: (512) 303-7300 |
Leigh P Ziegler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 85 Loop 150 W, Bastrop, TX 78602 Phone: 512-327-7000 | |
Candice Ann Bradford, OD Optometrist Medicare: Medicare Enrolled Practice Location: 747 Highway 71 W Ste A-550, Bastrop, TX 78602 Phone: 512-321-3042 | |
Joan Marie Cmar, OD Optometrist Medicare: Medicare Enrolled Practice Location: 87 Loop 150 W, Bastrop, TX 78602 Phone: 567-228-7027 | |
Robert F. Riegler, O.d.,pllc Optometrist Medicare: Medicare Enrolled Practice Location: 488 Highway 71 W, Bastrop, TX 78602 Phone: 512-303-2861 Fax: 512-412-6091 | |
Texas Vision Clinic Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 87 Loop 150 W, Bastrop, TX 78602 Phone: 512-321-2106 | |
Deborah Susan Jones, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1412 W State Highway 71, Suite 109, Bastrop, TX 78602 Phone: 512-303-5959 Fax: 512-332-2332 |