WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1215379938
Eyewear Supplier in Lake Orion, MI

Active since July 23, 2013
1455 S LAPEER RD, SUITE 110, LAKE ORION, MI 48360(248) 814-7139(248) 814-7997 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 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 1215379938) is a healthcare organization registered as an eyewear supplier in Lake Orion, Michigan and active in the NPI registry since July 2013. The organization lists Diane K Stiller, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1215379938
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameUNIVERSITY PHYSICIAN GROUP
Location Address1455 S LAPEER RD, SUITE 110Lake Orion, MI 48360-1468
Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1138 · (248) 581-5973 · Fax (248) 581-5640
Fax(248) 814-7997
Organization SubpartNo
Authorized OfficialDiane K StillerChief Financial Officer · (248) 581-5943
Enumeration DateJuly 23, 2013
Last NPPES UpdateJune 1, 2016
NPI 1215379938 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.
1455 S LAPEER RD, Lake Orion, MI 48360

Other Names 1

Doing Business AsWayne State University Physician Group

Other Identifiers 1

Medicare NSC5717980006MI

Other Providers at the Same Location NPPES 14

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

Physical Therapist
1455 S LAPEER RD
LAKE ORION, MI 48360
Family Medicine
1455 S LAPEER RD, STE 100
LAKE ORION, MI 48360
Clinic/Center (Urgent Care)
1455 S LAPEER RD, STE # 102
LAKE ORION, MI 48360
Clinic/Center (Urgent Care)
1455 S LAPEER RD, SUITE 102
LAKE ORION, MI 48360
Family Medicine
1455 S LAPEER RD, SUITE 122
LAKE ORION, MI 48360
General Practice
1455 S LAPEER RD
LAKE ORION, MI 48360
Physician Assistant (Medical)
1455 S LAPEER RD, SUITE 100
LAKE ORION, MI 48360
Internal Medicine (Nephrology)
1455 S LAPEER RD, SUITE 207
LAKE ORION, MI 48360

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 1215379938. It was assigned to this organization in the NPPES registry on July 23, 2013. The provider is doing business as Wayne State University Physician Group.

Where is University Physician Group located?

University Physician Group is located at 1455 S Lapeer Rd Suite 110, Lake Orion, MI 48360. The listed phone number is (248) 814-7139.

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 June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.