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WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1134492465
Eyewear Supplier in Dearborn, MI

Active since February 16, 2012
4700 SCHAEFER RD, SUITE 260, DEARBORN, MI 48126(313) 945-8270(313) 945-8731 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wayne State University Physician Group NPPES

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

WAYNE STATE UNIVERSITY PHYSICIAN GROUP (NPI 1134492465) is a healthcare organization registered as an eyewear supplier in Dearborn, Michigan and active in the NPI registry since February 2012. The organization lists Jeffery P Kohlitz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1134492465
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameUNIVERSITY PHYSICIAN GROUP
Location Address4700 SCHAEFER RD, SUITE 260Dearborn, MI 48126-3698
Mailing Address1560 E Maple Rd, Suite 400-credentialing Dept.Troy, MI 48083-1138 · (248) 581-5973 · Fax (248) 581-5640
Phone(313) 945-8270
Fax(313) 945-8731
Organization SubpartNo
Authorized OfficialJeffery P KohlitzChief Financial Officer · (248) 581-5930
Enumeration DateFebruary 16, 2012
Last NPPES UpdateDecember 1, 2016
✔ NPI 1134492465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in MI · 4301054761
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
4700 SCHAEFER RD, Dearborn, MI 48126
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Other Names 1

Doing Business AsWayne State University Physician Group

Other Identifiers 2

Medicare NSC5717980005MI
Other5717980005MI · Ngs

Other Providers at the Same Location NPPES 20

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

MISS CHRISTINE RENEE CONNER-BONGO NP-C
Nurse Practitioner (Adult Health)
4700 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (888) 562-5442
OAKWOOD DENTISTS P.L.L.C.
Dentist (General Practice)
4700 SCHAEFER RD, #109
DEARBORN, MI 48126
Wayne County (313) 945-8900
KAILINN HAIRSTON
Community Health Worker
4700 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 561-5100
ANNA G FINNERAN OTR
Occupational Therapist
4700 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 581-2600
MR. BRIAN JOHN PELTZ RPH
Pharmacist
4700 SCHAEFER RD, SUITE 340
DEARBORN, MI 48126
Wayne County (313) 827-5565
PREMIER ANESTHESIA STAFFING, PLLC
Nurse Anesthetist, Certified Registered
4700 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 827-0350
HAYA ALTOWN PA
Physician Assistant
4700 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 581-2600
MOLINA MEDICAL GROUP OF MICHIGAN, PC
Clinical Medical Laboratory
4700 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 581-2600

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 University Physician Group's NPI number?

The NPI number for University Physician Group is 1134492465. It was assigned to this organization in the NPPES registry on February 16, 2012. The provider is doing business as Wayne State University Physician Group.

Where is University Physician Group located?

University Physician Group is located at 4700 Schaefer Rd Suite 260, Dearborn, MI 48126. The listed phone number is (313) 945-8270.

What is University Physician Group's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for University Physician Group was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.