P Praxis·MD
● Active Type 1 · Individual

DR. Mark Anthony Licatino, O.D.

Optometrist·Bastrop, TX· NPI 1083690051 · Enumerated 2005 · 20 years on NPI
Licatino is 1 of 17 optometrist providers in Bastrop and 1 of 7867 in Texas.
NPI age
20 years
Enumerated 2005-12-21
Primary specialty
Optometrist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-02-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7867 active optometrist providers in Texas.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
85 Loop 150 W
Bastrop, TX 786023930
📞 5123037300fax 5123032148
Mailing address
5717 Balcones Dr
Austin, TX 787314203
📞 5123277000fax 5123141660

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    TX license #2442TG taxonomy 152W00000X

Identifiers

TypeValueNotes
01 (TX) 911390 BLOCK VISION
01 VP11653 GE WELLNESS
05 (TX) 117899802
01 (TX) 10013121 AMERIGROUP
05 (TX) 117899803
01 146573100 FIRST CARE
01 (NY) 32787-013 DAVIS VISION
01 (TX) 8114413 BLUELINK
01 (TX) 4511497 AETNA
01 (TX) 88Y393 BLUE CROSS BLUE SHIELD
01 (OH) TX2442 EYEMED

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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