NICHOLAS GEORGE HAFEMAN O.D.
NPI 1114074416
Optometrist in Appleton, WI

Q: What is Nicholas Hafeman's NPI number?

The NPI number for Nicholas Hafeman is 1114074416. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is Nicholas Hafeman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Hafeman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment

4301 W WISCONSIN AVE, APPLETON, WI 54913(920) 730-8770 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas George Hafeman O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS GEORGE HAFEMAN O.D. (NPI 1114074416) is an individual optometrist in Appleton, Wisconsin, licensed in Wisconsin (2770 - 035) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1999).

NPPES Registry Identity

NPI1114074416

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameNICHOLAS GEORGE HAFEMANCredential: O.D.

Location Address4301 W WISCONSIN AVEAppleton, WI 54913-8605

Mailing Address4301 W Wisconsin Ave, Fox River MallAppleton, WI 54913-8605 · (920) 757-9580

Phone(920) 730-8770

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1999

Enumeration DateJanuary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114074416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WI · 2770 - 035

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4301 W WISCONSIN AVE, Appleton, WI 54913

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Other Identifiers 1

Medicare UPINU45056WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas George Hafeman O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486556750

PECOS Enrollment IDI20040126000797

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUXOTTICA RETAIL NORTH AMERICA INC

Eyewear Supplier

4301 W WISCONSIN AVE, FOX RIVER MALL
APPLETON, WI 54913

Outagamie County (920) 738-8673

DR RICK DAVISON AND ASSOC, LLC

Optometrist

4301 W WISCONSIN AVE
APPLETON, WI 54913

Outagamie County (920) 731-6116

CHINTAN BRAHMBHATT

Pharmacist

4301 W WISCONSIN AVE, SUITE 42 (T-0238)
APPLETON, WI 54913

Outagamie County (920) 243-7877

KIERA NOEL SCHIAVO PHARMD

Pharmacist

4301 W WISCONSIN AVE
APPLETON, WI 54913

Outagamie County (920) 243-7877

DR. ROBERT SIKES PHARM.D.

Pharmacist

4301 W WISCONSIN AVE, SUITE 42
APPLETON, WI 54913

Outagamie County (920) 243-7877

LUXOTTICA OF AMERICA INC.

Eyewear Supplier

4301 W WISCONSIN AVE
APPLETON, WI 54913

Outagamie County (920) 731-6116

PEARLE VISION INC

Eyewear Supplier

4301 W WISCONSIN AVE, FOX RIVER MALL
APPLETON, WI 54913

Outagamie County (920) 731-6116

DR. RICHARD DAVISON O.D.

Optometrist

4301 W WISCONSIN AVE
APPLETON, WI 54913

Outagamie County (920) 731-6116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Hafeman's NPI number?

The NPI number for Nicholas Hafeman is 1114074416. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Nicholas Hafeman located?

Nicholas Hafeman practices at 4301 W Wisconsin Ave, Appleton, WI 54913. The listed phone number is (920) 730-8770.

What is Nicholas Hafeman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicholas Hafeman enrolled in Medicare?

Yes. Nicholas Hafeman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Hafeman accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Nicholas Hafeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Hafeman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.