Individual provider Active NPI

Jeffrey P Collett, O.D.

  • Optometrist
  • Ottumwa, IA
National Provider Identifier
1912909516
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2087 Issued in IA
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

Updated by the provider on Jul 13, 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 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

IdentifierTypeStateIssuer
2157651MedicaidIA

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
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 37 clinicians

Practice addresses (Care Compare)

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2087IAMDOptometrist
02087IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfe Clinic Inc CurrentSince Mar 3, 2014 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.