Active NPI
Marko Kristian Oydanich
- Ophthalmology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- W5915
- Practice address
- 150 Bergen St
Newark, NJ 07103-2496 - Phone
- (917) 687-7110
- NPI assigned
- Mar 29, 2022
- Last updated
- May 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | W5915 | TX | Primary |
Addresses
Primary practice location
150 Bergen St
Newark, NJ 07103-2496
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Other practice location 1
918 N Davis Dr
Arlington, TX 76012-3226
Phone (817) 860-9933
Other practice location 2
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 645-2020
Other practice location 3
4900 Harry Hines Blvd
Dallas, TX 75235-7719
Phone (214) 590-1900
Other practice location 4
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8000
Other practice location 5
600 S Main St Ste 1.500
Ft Worth, TX 76104-2410
Phone (817) 429-3050
Other practice location 6
6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 633-4700
Other practice location 7
5151 Harry Hines Blvd
Dallas, TX 75235-7707
Phone (214) 633-4700
Other practice location 8
1801 Inwood Rd Fl 5
Dallas, TX 75235-7202
Phone (214) 645-2035
Other practice location 9
5151 Maple Ave Fl 3
Dallas, TX 75235-8136
Phone (214) 590-5499
Other practice location 10
4400 New York Ave
Arlington, TX 76018-4817
Phone (817) 702-8500
Other practice location 11
1575 S Main St
Ft Worth, TX 76104-4901
Phone (817) 702-8828
Other practice location 12
1500 S Main St Fl 2
Ft Worth, TX 76104-4917
Phone (817) 702-3431
Other practice location 13
5303 Harry Hines Blvd Fl 6
Dallas, TX 75390-7208
Phone (214) 645-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W5915 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1275273476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032496",
"telephone_number": "917-687-7110"
}
],
"practiceLocations": [
{
"address_1": "918 N Davis Dr",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760123226",
"country_code": "US",
"telephone_number": "817-860-9933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5323 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753907201",
"country_code": "US",
"telephone_number": "214-645-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4900 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357719",
"country_code": "US",
"telephone_number": "214-590-1900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357709",
"country_code": "US",
"telephone_number": "214-590-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 S Main St Ste 1.500",
"address_purpose": "LOCATION",
"city": "Ft Worth",
"state": "TX",
"postal_code": "761042410",
"country_code": "US",
"telephone_number": "817-429-3050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6201 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752355202",
"country_code": "US",
"telephone_number": "214-633-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5151 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357707",
"country_code": "US",
"telephone_number": "214-633-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 Inwood Rd Fl 5",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357202",
"country_code": "US",
"telephone_number": "214-645-2035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5151 Maple Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752358136",
"country_code": "US",
"telephone_number": "214-590-5499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 New York Ave",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760184817",
"country_code": "US",
"telephone_number": "817-702-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 S Main St",
"address_purpose": "LOCATION",
"city": "Ft Worth",
"state": "TX",
"postal_code": "761044901",
"country_code": "US",
"telephone_number": "817-702-8828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 S Main St Fl 2",
"address_purpose": "LOCATION",
"city": "Ft Worth",
"state": "TX",
"postal_code": "761044917",
"country_code": "US",
"telephone_number": "817-702-3431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5303 Harry Hines Blvd Fl 6",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753907208",
"country_code": "US",
"telephone_number": "214-645-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OYDANICH",
"first_name": "MARKO",
"middle_name": "KRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-29",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "W5915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.