John Brent Altfillisch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1537 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

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Dr. J. Brent Altfillisch, O.D. P.C.

  • Optometrist
  • Ottumwa, IA
  • NPI 1467449686
  Medicare reassignment NPD Authorized official
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409

  IA

  Medicare reassignment NPD
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1437205663
  NPD (past)
• Real Optics Inc

  dba Vogue Vision, Eyemart Optical

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1003970344
  NPD (past)
• Real Optics Inc

  dba Vogue Vision in Indian Hills

  • Eyewear Supplier
  • Clive, IA
  • NPI 1407064215
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154420172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "address_2": "224 E MAIN STREET",
            "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": "JOHN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Alameddine
• Alcohol & Drug Dependency Services
• Alcohol & Drug Dependency Services
• Alexander Enterprises
• All Ages Pediatrics P.C.
• Mark Alan Altfillisch, OD
• Matilda Alvarado, LMHC
• Richard T Ameln, M.D.
• American Baptist Homes of the Midwest (Ottumwa Crest Services)
• American Home Finding Assoc (Maternal Womens Health)

• Optometrist in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.