Mark Licatino, O.D

ActiveIndividual ProviderOptometry
NPI issued: December 21, 2005

Quick Facts

NPI Number
1083690051
TypeIndividual
StatusActive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(512) 303-7300
StateTX

NPI Validation Status: Verified

Valid 10-digit NPI number (1083690051)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 21, 2005)
Data source: CMS NPPES

Provider Overview

MARK LICATINO, O.D is a Optometry provider based in Bastrop, TX who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083690051
Provider TypeIndividual Provider
GenderMale
CredentialO.D
StatusActive
Enumeration DateDecember 21, 2005

Practice Location

CityBastrop
StateTX
ZIP Code78602-3930
Phone(512) 303-7300

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StateTX

Mailing Address

CityBastrop
StateTX
ZIP Code78602-3930
Phone(512) 303-7300
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1083690051 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1083690051for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083690051 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
95,009
Optometry Providers in the US

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People Also Ask

What is Mark Licatino's NPI number?
Mark Licatino's NPI number is 1083690051, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mark Licatino's NPI currently active?
Yes, Mark Licatino's NPI status is Active as of the latest CMS NPPES database updates.
What does Mark Licatino specialize in?
Mark Licatino specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does Mark Licatino practice?
Mark Licatino practices in Bastrop, TX 78602-3930.
When was Mark Licatino's NPI issued?
Mark Licatino's NPI was issued on December 21, 2005.
What is Mark Licatino's provider type?
Mark Licatino is registered as an Individual Provider under CMS NPI Type 1.