Individual provider Active NPI

Mark Alan Altfillisch, OD

  • Optometrist
  • Ottumwa, IA
National Provider Identifier
1093814014
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1969 Issued in IA
Practice address
224 E Main Street
Ottumwa, IA 52501-2916
Phone
(641) 684-5463
Fax
(641) 684-5475
NPI assigned
Sep 22, 2006
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1969 IA Primary

Addresses

Primary practice location

224 E Main Street
Ottumwa, IA 52501-2916

Mailing address

224 E Main St
Ottumwa, IA 52501-2916
Phone (641) 684-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000423 IA Practitioner - Optometry 2567596331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

224 E Main St
Ottumwa, IA 52501-2916
Phone (641) 684-5463

Merit-based Incentive Payment System (MIPS)

Final score
88.62 of 100Reported as individual
Quality
77.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1969IAMDOptometrist
01969IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. J. Brent Altfillisch, O.D. P.C. Optometrist CurrentSince Aug 15, 1992 Accepting new patients

Locations

224 E Main St
Ottumwa, IA 52501
Phone (641) 684-5463

Interoperability endpoints

  • Direct secure messaging: markaltfillisch@direct.revolutionehr.com

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1093814014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012916",
            "telephone_number": "641-684-5463",
            "fax_number": "641-684-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E MAIN STREET",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012916",
            "telephone_number": "641-684-5463",
            "fax_number": "641-684-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTFILLISCH",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.