Active NPI
Jeffrey P Collett, O.D.
- Optometrist
- Ottumwa, IA
National Provider Identifier
1912909516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2087
- Practice address
- 1005 Pennsylvania Ave
Suite 110
Ottumwa, IA 52501-6413 - Phone
- (641) 682-8571
- Fax
- (641) 682-8573
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2087 | IA | Primary |
Addresses
Primary practice location
1005 Pennsylvania Ave
Suite 110
Ottumwa, IA 52501-6413
Mailing address
1005 Pennsylvania Ave
Suite 110
Ottumwa, IA 52501-6413
Phone (641) 682-8571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157651 | Medicaid | IA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019000901 | IA | Practitioner - Optometry | 9537215397 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wolfe Clinic Inc
Practice addresses (Care Compare)
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2087 | IA | MD | Optometrist |
| 02087 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolfe Clinic Inc | Current | Accepting new patients |
Locations
309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200
1005 Pennsylvania Ave
Ste 110
Ottumwa, IA 52501
Phone (515) 682-8571
Interoperability endpoints
- jcollett@wolfe.intellechartdirect.net
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912909516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 PENNSYLVANIA AVE",
"address_2": "SUITE 110",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525016413",
"telephone_number": "641-682-8571",
"fax_number": "641-682-8573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 PENNSYLVANIA AVE",
"address_2": "SUITE 110",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525016413",
"telephone_number": "641-682-8571",
"fax_number": "641-682-8573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETT",
"first_name": "JEFFREY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "2087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2157651",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.