Jeffrey Wade Collins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4090 Issued in OH

Practice address

127 Lynn Ave
Oxford, OH 45056-1548

Phone

(513) 523-6339

Fax

(513) 523-6330

NPI assigned

Jun 24, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey W Collins OD IncGroup PAC ID 8426082322, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drcollins@oxfordfamilyvisioncare.direct.eyemdemr.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.

• Jeffrey W. Collins, O.D., Inc.

  • Optometrist
  • Eaton, OH
  • NPI 1710065040
  Medicare reassignment Care Compare group NPD
• Jeffrey W Collins OD Inc

  dba Family Vision Care

  • Optometrist
  • Oxford, OH
  • NPI 1770644593
  NPD Authorized official

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295731156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LYNN AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561548",
            "telephone_number": "513-523-6339",
            "fax_number": "513-523-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LYNN AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561548",
            "telephone_number": "513-523-6339",
            "fax_number": "513-523-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JEFFREY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751726",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Allen Chidester, DC
• Mark Ciolek, PT
• City of Oxford (City of Oxford Fire Department)
• Hannah Marie Clemons, PHARMD
• Samantha Marie Cobb
• Community Birth Group
• Community Counseling & Crisis Center
• Community Counseling and Crisis Center
• Julia Coning, OT
• Fofi Constantinidou, PH.D., CCC-SLP

• Optometrist in Oxford, OH
• Providers in Oxford, OH by specialty
• Optometrist in Ohio

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.