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Mark Anthony Licatino, O.D.

NPI 1083690051ActiveIndividual· Optometrist· Bastrop, TX

Optometrist (O.D.) in Bastrop, Texas, licensed in TX, with an NPI issued in December 2005.

Overview

NPI1083690051
StatusActive
Entity typeIndividual
CredentialO.D.
Sole proprietorNo
NPI issuedDec 21, 2005
Last updated in NPPESFeb 1, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X2442TGTX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other optometrists in Bastrop

All 17 optometrists in Bastrop · All optometrists in Texas