Jeffrey Joel Becraft, O.D.
Individual provider Active NPI Low Vision Rehabilitation Optometrist · Niles, MI
NPI 1508977430 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1508977430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Low Vision Rehabilitation Optometrist 152WL0500X
- License
- 4901003984 (MI)
- Practice address
- 20 N 2ND St
Niles, MI 49120-2259 - Phone
- (269) 683-4040
- Fax
- (269) 683-7565
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Niles Vision Clinic, P.C.
Practice addresses (Care Compare)
9 S Saint Joseph Ave
Niles, MI 49120-2846
Phone (269) 683-4040
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 32 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100504000051 | MI | Practitioner - Optometry | 0547276131 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003984 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niles Vision Clinic, P.C. | Optometrist | Current |
Accepting new patients |
| Niles Vision Clinic | Optometrist | Current | Accepting new patients |
Locations
9 S Saint Joseph Ave
Niles, MI 49120
Phone (269) 683-4040
20 N 2nd St
Niles, MI 49120
Phone 2694283300234
Interoperability endpoints
- jeffreybecraft@niles-vision-clinic.direct.kno2fy.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003984 | MI | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 4901003984 | MI | Yes |
Addresses
Primary practice location
20 N 2ND St
Niles, MI 49120-2259
Mailing address
20 N 2ND St
Niles, MI 49120-2259
Phone (269) 683-4040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4325523 | Medicaid | MI |
Other providers in Niles, MI
- Jacquelyn Barney
- James W. Bateman
- Brian Elbert Bates
- Richard Beckermeyer
- Samantha Marie Beckwith
- Angela May Beers
- Bridget Doyle Benoit
- Steven Joel Berman
- Leilani Bermeo
- Berrien Family Chiropractic, Inc.
All providers in Niles, MI · Low Vision Rehabilitation Optometrist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.