Active NPI
Mark Justin Weiss, MD
- Ophthalmology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 9126
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Institute Inc | Ophthalmology | Current | 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
- mjw@eyeinstitute.ecldirect.net
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Zarrow Pointe | 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.
-
- Nursing Facility/Intermediate Care Facility
- Tulsa, OK
- NPI 1184923419
Corporate Director, Managing Control - Governing Body
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.
-
- Ophthalmology Physician
- Tulsa, OK
- NPI 1982638516
-
- Eyewear Supplier
- Tulsa, OK
- NPI 1174836241
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.