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

Nicholas George Hafeman, OD

Individual provider Optometrist · NPI 1114074416

Nicholas George Hafeman, OD is an Optometry in Appleton, Wisconsin. Graduated from Illinois College of Optometry at Chicago in 1999, 27 years ago. Practices with Shoptikal LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
27
Trained at
Illinois College of Optometry at Chicago
Licensed in
WI
In the registry since
2007
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

4301 W Wisconsin Ave
Appleton, WI 54913-8605
Phone: (920) 730-8770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2770 - 035 (WI)

Record details

NPI number1114074416
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1999 (27 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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