Nicholas George Hafeman, O.D.

Optometrist · Appleton, WI

Individual Active NPI

NPI number 1114074416

Practice location

4301 W Wisconsin Ave
Appleton, WI 54913-8605
Phone
(920) 730-8770

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NPI record

NPI
1114074416
Entity type
Individual (Type 1)
Enumeration date
January 5, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 2770 - 035 WI

Mailing address

4301 W Wisconsin Ave
Fox River Mall
Appleton, WI 54913-8605
Phone
(920) 757-9580

About Dr. Hafeman

Nicholas George Hafeman, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 4301 W Wisconsin Ave, Appleton, WI 54913-8605. The NPI number 1114074416 was assigned on January 5, 2007 and the record was last updated on July 8, 2007.

Dr. Hafeman lists a license in the registry: #2770 - 035 (WI) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas George Hafeman, O.D.?

The NPI number is 1114074416.

What is the phone number of Dr. Hafeman?

The phone number listed for the practice location is (920) 730-8770.

Where is Dr. Hafeman located?

4301 W Wisconsin Ave, Appleton, WI 54913-8605.

What is the taxonomy code for Dr. Hafeman?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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