UNIVERSITY PHYSICIAN GROUP
NPI 1558680330
Eyewear Supplier in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Eyewear Supplier with taxonomy code 332H00000X.

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: July 19, 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 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

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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.

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