Individual
DR. JEFFREY P COLLETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1005 PENNSYLVANIA AVE, SUITE 110, OTTUMWA, IA 52501-6413
(641) 682-8571
(641) 682-8573
Mailing address
1005 PENNSYLVANIA AVE, SUITE 110, OTTUMWA, IA 52501-6413
(641) 682-8571
(641) 682-8573
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2087
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157651
—
IA
Enumeration date
08/12/2005
Last updated
07/08/2007
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