Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy J Frederiksen, OD

Individual provider Optometrist · NPI 1649262478

Dr. Timothy J Frederiksen, OD is an Optometry in Hayward, Wisconsin. Graduated from Illinois College of Optometry at Chicago in 1988, 38 years ago. Practices with Shoptikal LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
38
Trained at
Illinois College of Optometry at Chicago
Licensed in
WI
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

15569 Railroad St Ste 301
Hayward, WI 54843-5707
Phone: (715) 634-8616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2235-035 (WI)

Record details

NPI number1649262478
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1988 (38 years in practice)
Group practice Shoptikal Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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