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UNIVERSITY PHYSICIAN GROUP
NPI 1558680330
Eyewear Supplier in Detroit, MI

Active since May 19, 2010
6071 W OUTER DR, SUITE M-106, DETROIT, MI 48235(313) 966-2024(313) 966-7418 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Physician Group NPPES

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

UNIVERSITY PHYSICIAN GROUP (NPI 1558680330) is a healthcare organization registered as an eyewear supplier in Detroit, Michigan and active in the NPI registry since May 2010. The organization lists Jeffery P Kohlitz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1558680330
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameUNIVERSITY PHYSICIAN GROUP
Location Address6071 W OUTER DR, SUITE M-106Detroit, MI 48235-2624
Mailing Address1560 E. Maple Rd., Suite 400-credentialing DeptTroy, MI 48083-1138 · (248) 581-5973 · Fax (248) 581-5640
Phone(313) 966-2024
Fax(313) 966-7418
Organization SubpartNo
Authorized OfficialJeffery P KohlitzChief Financial Officer · (248) 581-5930
Enumeration DateMay 19, 2010
Last NPPES UpdateDecember 8, 2016
✔ NPI 1558680330 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.
6071 W OUTER DR, Detroit, MI 48235
Open in Google Maps ↗

Other Identifiers 2

Medicare NSC5717980003MI
Other5717980003MI · 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.

MS. LILIA POPADIUK P.A.
Physician Assistant
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 993-0200
WALEED OBAID M.D
Internal Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3250
JAY KINARIWALA
Psychiatry & Neurology (Neurocritical Care)
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-1389
MULUKA TAHIR OMAR DO
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
NICKLAS BARA MD
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
DR. ROBERT T MALINOWSKI M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
ZAKLINA DENDOOVEN CRNA
Nurse Anesthetist, Certified Registered
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (952) 442-9770
DR. MATTHEW J GRIFFIN M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300

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 1558680330. It was assigned to this organization in the NPPES registry on May 19, 2010.

Where is University Physician Group located?

University Physician Group is located at 6071 W Outer Dr Suite M-106, Detroit, MI 48235. The listed phone number is (313) 966-2024.

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 8, 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.