Individual provider Active NPI

Jacob Musto, OD

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1669163390
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3234 Issued in OK
Practice address
7171 S Yale Ave Ste 103
Tulsa, OK 74136-6367
Phone
(918) 499-3937
NPI assigned
May 15, 2023
Last updated
Jun 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3234 OK Primary
Optometrist 152W00000X ATI4693 OR

Addresses

Primary practice location

7171 S Yale Ave Ste 103
Tulsa, OK 74136-6367

Mailing address

7171 S Yale Ave Ste 103
Tulsa, OK 74136-6367
Phone (918) 499-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230731002447 OR Practitioner - Optometry 9133580699 Reassigns benefits to 1 organization
I20250512000944 OK Practitioner - Optometry 9133580699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Institute IncGroup PAC ID 7911995337, 19 clinicians

Practice addresses (Care Compare)

2000 S Wheeling Ave
Suite 1010
Tulsa, OK 74104-5646
Phone (918) 747-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3234OKMDOptometrist
ATI4693ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Klamath Ophthalmology PC Optometrist Current Accepting new patients
Klamath Ophthalmology, PC Optometrist CurrentSince Aug 15, 2023 Accepting new patients
The Eye Institute Inc CurrentSince Jun 1, 2025 Accepting new patients
Marc a Goldberg MD PC Past Accepting new patients

Locations

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

7171 S Yale Ave
Ste 103
Tulsa, OK 74136
Phone (918) 492-0066

2615 Almond St
Klamath Falls, OR 97601
Phone (541) 883-3688

2640 Biehn St
Klamath Falls, OR 97601
Phone (541) 205-6890

2640 Biehn St
Ste 3
Klamath Falls, OR 97601
Phone (541) 883-3688

628 N 1st St
Lakeview, OR 97630
Phone (541) 947-5376

628 N 1st St
Ste C
Lakeview, OR 97630
Phone (541) 947-3357

Interoperability endpoints

  • Direct secure messaging: jmusto@teiok.intellechartdirect.net

Organizations & group practices 4

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1669163390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 S YALE AVE STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366367",
            "telephone_number": "918-499-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 S YALE AVE STE 103",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366367",
            "telephone_number": "918-499-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTO",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3234",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.