WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1063452233
Optometrist in Detroit, MI
NPI Status: Active since June 07, 2006
Contact Information
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
Phone: (313) 577-8900
Fax: (313) 577-0700
- Organization
- Optometrist
- Accepts Insurance
About WAYNE STATE UNIVERSITY PHYSICIAN GROUP
This page provides the complete NPI Profile along with additional information for Wayne State University Physician Group, a provider established in Detroit, Michigan operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1063452233 assigned on June 2006. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Wayne State University Physician Group. The authorized official of this NPI record is Mr. Jeffery P Kohlitz (Chief Financial Officer)
- NPI
- 1063452233
- Provider Legal Name
- UNIVERSITY PHYSICIAN GROUP
- Other Organization Name
- WAYNE STATE UNIVERSITY PHYSICIAN GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4717 SAINT ANTOINE ST DETROIT, MI 48201
- Location Phone
- (313) 577-8900
- Location Fax
- (313) 577-0700
- Mailing Address
- 1560 E. MAPLE RD. SUITE 400-CREDENTIALING DEPT. TROY, MI 48083
- Mailing Phone
- (248) 581-5973
- Mailing Fax
- (313) 577-0700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2006
- Last Update Date
- 10-26-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Metro Detroit HMO Bronze Extra - HMO
- Blue Cross� Metro Detroit HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0H22869 | OTHER (01) | MI | BCBSM GROUP NUMBER |
| 0P32140 | OTHER (01) | MI | MEDICARE GROUP # - OD |
| 5717980003 | MEDICARE NSC (07) | MI | |
| 0P32140 | MEDICARE PIN (08) | MI | |
| 23D1091632 | OTHER (01) | MI | CLIA WAIVER |
| 5717980008 | MEDICARE NSC (07) | MI | |
| 5717980001 | MEDICARE NSC (07) | MI | |
| 5717980005 | MEDICARE NSC (07) | MI |
Reviews for WAYNE STATE UNIVERSITY PHYSICIAN GROUP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 4 | 5 | 2 | 2 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 8 | 5 | 4 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 8 + 5 + 4 + 2 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1063452233 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
KRESGE EYE INSTITUTE
Special Hospital
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
DR. MICHAEL JAMES COLEMAN JR. M.D.
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
DR. ELIZABETH YATES OD
Optometrist
4717 SAINT ANTOINE ST
KRESGE EYE INSTITUTE
DETROIT, MI
ZIP 48201
WILLIAM ROBERT LUCAS JR. MD
Ophthalmology
4717 SAINT ANTOINE ST
KRESGE EYE INSTITUTE
DETROIT, MI
ZIP 48201
XIHUI LIN M.D.
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
DANIEL BENJAMIN APPLE M.D.
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
MS. RUTH BOYMAN MD
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
BRET ALAN HUGHES MD
Ophthalmology
4717 SAINT ANTOINE ST
KRESGE EYE INSTITUTE
DETROIT, MI
ZIP 48201
CHRISTOPHER J CHEYER MD
Ophthalmology
4717 SAINT ANTOINE ST
KRESGE EYE INSTITUTE
DETROIT, MI
ZIP 48201
VICTORIA LYNN LANDOLT D.O.
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
UNIVERSITY PHYSICIAN GROUP
Eyewear Supplier
4717 SAINT ANTOINE ST
KRESGE EYE INSTITUTE
DETROIT, MI
ZIP 48201
DR. LAUREN ELIZABETH RODERICK O.D.
Optometrist
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
DR. REECHA SACHDEVA BAHL MD
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
FAISAL RIDHA AL-TIMIMI M.D.
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
CHRISTOPHER DAVIS MD
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
DR. LAUREN ILONA KESHISHIAN M.D.
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
PRADEEPA YOGANATHAN MD
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
DANIEL MALACH M.D.
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
DR. HASSAN ALI TOKKO MD
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
DR. JOHN MICHAEL GUEST MD
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063452233, enumerated in the NPI registry as an "organization" on June 07, 2006
The provider is located at 4717 Saint Antoine St Detroit, Mi 48201 and the phone number is (313) 577-8900
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.
