Individual provider Active NPI

Mark Justin Weiss, MD

  • Ophthalmology Physician
  • Tulsa, OK
National Provider Identifier
1003801481
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9126 Issued in OK
Practice address
1717 S Utica Ave
Ste 107
Tulsa, OK 74104-5317
Phone
(918) 742-2428
Fax
(918) 742-8435
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9126 OK Primary

Addresses

Primary practice location

1717 S Utica Ave
Ste 107
Tulsa, OK 74104-5317

Mailing address

1717 S Utica Ave
Ste 107
Tulsa, OK 74104-5317
Phone (918) 742-2428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805001000 OK Practitioner - Ophthalmology 9436158599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Institute Inc Ophthalmology CurrentSince Jul 1, 1966 Accepting new patients
Marc a Goldberg MD PC Past Accepting new patients

Locations

2000 S Wheeling Ave
Ste 403
Tulsa, OK 74104
Phone (918) 742-5513

1717 S Utica Ave
Ste 107
Tulsa, OK 74104
Phone (918) 742-2259

2000 S Wheeling Ave
Ste 1010
Tulsa, OK 74104
Phone (918) 584-4433

Interoperability endpoints

  • Direct secure messaging: mjw@eyeinstitute.ecldirect.net
  • Direct secure messaging: mweiss@teiok.intellechartdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Zarrow PointeTulsa, OK, CCN 375547 Skilled nursing facility Corporate Director
Managing Control - Governing Body
Apr 28, 2024
Apr 28, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003801481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S UTICA AVE",
            "address_2": "STE 107",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045317",
            "telephone_number": "918-742-2428",
            "fax_number": "918-742-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S UTICA AVE",
            "address_2": "STE 107",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045317",
            "telephone_number": "918-742-2428",
            "fax_number": "918-742-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MARK",
        "middle_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "9126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.