Niles Vision Clinic, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NILES VISION CLINIC, P.C.

Doing business as

Niles Vision Clinic

Practice address

9 S Saint Joseph Ave
Niles, MI 49120-2846

Phone

(269) 683-4040

NPI assigned

Jan 15, 2010

Last updated

Apr 29, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Joel Becraft, O.D.NPI 1508977430

Title

President

Phone

(269) 683-4040

Specialties & licenses 1

Addresses

Other names 1

• Niles Vision Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Joel Becraft, O.D.

  • Low Vision Rehabilitation Optometrist
  • Niles, MI
  • NPI 1508977430
  Medicare reassignment Care Compare group NPD Authorized official
• Deborah K Searles, O.D.

  • Optometrist
  • Niles, MI
  • NPI 1982628236
  Medicare reassignment Care Compare group NPD
• Kimberly May Cooper, O.D.

  • Optometrist
  • Stevensville, MI
  • NPI 1457670846
  Medicare reassignment NPD
• Tamara N. Schwalbe, OD

  • Optometrist
  • South Bend, IN
  • NPI 1568758712

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1841521838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202846",
            "telephone_number": "269-683-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202846",
            "telephone_number": "269-683-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILES VISION CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "BECRAFT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-683-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niles Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Niles Foot Clinic, PC
• Niles Mi Opco LLC
• Niles Orthopedics, P.C.
• Niles Professional Services, Inc
• Niles Vision Clinic
• Christy Norman
• Hannah Elizabeth Norton, RN, CD
• Jeremy Nowak
• Karinne Nye
• Lenser Ochieng, CRNA

• Optometrist in Niles, MI
• Providers in Niles, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.