Individual provider Active NPI

Marko Kristian Oydanich

  • Ophthalmology Physician
  • Newark, NJ
National Provider Identifier
1275273476
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
W5915 Issued in TX
Practice address
150 Bergen St
Newark, NJ 07103-2496
Phone
(917) 687-7110
NPI assigned
Mar 29, 2022
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
W5915TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.