Mark Anthony Licatino in Austin - Optometrist
Mark Anthony Licatino - NPI 1083690051
Mark Anthony Licatino is a Optometrist in Austin, Texas. Mark Anthony Licatino practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark Anthony Licatino is 1083690051. The last update date is 2010-02-01.
Mark Anthony Licatino's current location address is 5717 Balcones Dr, Austin, Texas. You can contact this provider via phone number 5123277000 and fax number 5123141660. The mailing address for Mark Anthony Licatino is 5717 Balcones Dr, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Anthony Licatino |
|---|---|
| Address | 5717 Balcones Dr, Austin, Texas |
| Phone Number | 5123277000 |
| Fax Number | 5123141660 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1083690051 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2010-02-01 |
Provider Mailing Address Detail
| Address | 5717 Balcones Dr |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787314203 |
| Phone Number | 5123277000 |
| Fax Number | 5123141660 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2442TG |
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Definition: 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 identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 911390 | TX | BLOCK VISION | |
| VP11653 | GE WELLNESS | ||
| 117899802 | TX | -- | |
| 10013121 | TX | AMERIGROUP | |
| 117899803 | TX | -- | |
| 146573100 | FIRST CARE | ||
| 32787-013 | NY | DAVIS VISION | |
| 8114413 | TX | BLUELINK | |
| 4511497 | TX | AETNA | |
| 88Y393 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Anthony Licatino by the Centers for Medicare & Medicaid Services?
The Mark Anthony Licatino has been assigned the NPI (National Provider Identifier) 1083690051. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Anthony Licatino is geographically located?
The Mark Anthony Licatino is physically situated at the following location: 5717 Balcones Dr, Austin, TX, 787314203.
What is Mark Anthony Licatino's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Anthony Licatino is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083690051 to Mark Anthony Licatino?
The Centers for Medicare & Medicaid Services originally issued the 1083690051 to Mark Anthony Licatino on 2005-12-21.
When was the information regarding Mark Anthony Licatino, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Anthony Licatino, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-02-01.