UNIVERSITY PHYSICIAN GROUP
NPI 1740590678
Eyewear Supplier in Dearborn, MI

Active since October 13, 2010
4700 SCHAEFER RD, SUITE 165, DEARBORN, MI 48126(313) 945-7724(313) 945-8731 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Eyewear Supplier

About UNIVERSITY PHYSICIAN GROUP

This page provides the complete NPI Profile along with additional information for University Physician Group, a provider established in Dearborn, Michigan operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1740590678 assigned on October 2010. The practitioner's primary taxonomy code is 332H00000X with license number 4301054761 (MI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Diane K Stiller (Chief Financial Officer)

NPI
1740590678 Verify this NPI
Provider Name
UNIVERSITY PHYSICIAN GROUP
Entity Type
Organization
Location Address
4700 SCHAEFER RD SUITE 165 DEARBORN, MI 48126
Location Phone
(313) 945-7724
Location Fax
(313) 945-8731
Mailing Address
1560 E. MAPLE RD. SUITE 400-CREDENTIALING DEPT. TROY, MI 48083
Mailing Phone
(248) 581-5973
Mailing Fax
(248) 581-5640
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2010
Last Update Date
06-01-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
4301054761
License State
MI
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE K STILLER

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(248) 581-5943

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5717980004MEDICARE NSC (07)MI 
5717980004OTHER (01)MINGS

Reviews for UNIVERSITY PHYSICIAN GROUP

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
4700 SCHAEFER RD
DEARBORN, MI 48126
Obstetrics & Gynecology
4700 SCHAEFER RD
DEARBORN, MI 48126
Physical Medicine & Rehabilitation
4700 SCHAEFER RD
DEARBORN, MI 48126
Internal Medicine (Cardiovascular Disease)
4700 SCHAEFER RD
DEARBORN, MI 48126
Internal Medicine
4700 SCHAEFER RD
DEARBORN, MI 48126
Nurse Anesthetist, Certified Registered
4700 SCHAEFER RD
DEARBORN, MI 48126
Dentist (General Practice)
4700 SCHAEFER RD, #109
DEARBORN, MI 48126
Pharmacist
4700 SCHAEFER RD, SUITE 340
DEARBORN, MI 48126
Internal Medicine
4700 SCHAEFER RD
DEARBORN, MI 48126
Clinical Medical Laboratory
4700 SCHAEFER RD
DEARBORN, MI 48126
Eyewear Supplier
4700 SCHAEFER RD, SUITE 260
DEARBORN, MI 48126
Occupational Therapist
4700 SCHAEFER RD
DEARBORN, MI 48126
Nurse Practitioner (Adult Health)
4700 SCHAEFER RD
DEARBORN, MI 48126
Physician Assistant
4700 SCHAEFER RD
DEARBORN, MI 48126
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 SCHAEFER RD
DEARBORN, MI 48126
Nurse Practitioner (Family)
4700 SCHAEFER RD
DEARBORN, MI 48126
Clinic/Center (Ambulatory Surgical)
4700 SCHAEFER RD
DEARBORN, MI 48126
Internal Medicine
4700 SCHAEFER RD
DEARBORN, MI 48126
Community Health Worker
4700 SCHAEFER RD
DEARBORN, MI 48126
Nurse Practitioner (Family)
4700 SCHAEFER RD
DEARBORN, MI 48126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740590678, enumerated as an "organization" on October 13, 2010.

The provider is located at 4700 SCHAEFER RD SUITE 165 DEARBORN, MI 48126 and the phone number is (313) 945-7724.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.