UNIVERSITY PHYSICIAN GROUP
NPI 1255370052
Eyewear Supplier in Detroit, MI

Q: What is University Physician Group's NPI number?

The NPI number for University Physician Group is 1255370052. It was assigned to this organization in the NPPES registry on June 6, 2006.

Q: What is University Physician Group's specialty?

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

Active since June 06, 2006

4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE, DETROIT, MI 48201(313) 577-8900(313) 577-0700 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About University Physician Group NPPES

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

UNIVERSITY PHYSICIAN GROUP (NPI 1255370052) is a healthcare organization registered as an eyewear supplier in Detroit, Michigan and active in the NPI registry since June 2006. The organization lists Jeffery P Kohlitz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1255370052

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameUNIVERSITY PHYSICIAN GROUP

Location Address4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTEDetroit, MI 48201-1423

Mailing Address1560 E Maple Rd, Suite 400-credentialing DeptTroy, MI 48083-1138 · (248) 581-5973 · Fax (248) 581-5640

Phone(313) 577-8900

Fax(313) 577-0700

Organization SubpartNo

Authorized OfficialJeffery P KohlitzChief Financial Officer · (248) 581-5930

Enumeration DateJune 6, 2006

Last NPPES UpdateDecember 1, 2016

✔ NPI 1255370052 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.

4717 SAINT ANTOINE ST, Detroit, MI 48201

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Other Identifiers 3

Other5717980001MI · Ngs

Other0H22996MI · Bcbsm Group #

Medicare NSC5717980001MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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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.

DR. HASSAN ALI TOKKO MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-7614

WILLIAM ROBERT LUCAS JR. MD

Ophthalmology

4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE
DETROIT, MI 48201

Wayne County (313) 577-8900

UNIVERSITY PHYSICIAN GROUP

Optometrist

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

TUBA SOHAIL MIRZA DO

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

PRADEEPA YOGANATHAN MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8932

MARYAM ASHRAFKHORASANI

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

NIKITA KAUR BHANGU MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 745-5146

CLAIRE SIMONS MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

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 1255370052. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is University Physician Group located?

University Physician Group is located at 4717 Saint Antoine St Kresge Eye Institute, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is University Physician Group's specialty?

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

What insurance does University Physician Group accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list University Physician Group 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 University Physician Group was last updated on December 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.