Organization · Type 2 NPI

University Physician Group

Eyewear Supplier · Southfield, MI

NPI number 1114384757 Active

Practice location

26400 W 12 Mile Rd, Suite 60
Southfield, MI 48034-1774

Call (248) 594-6702 Map

Fax (248) 594-6738

Mailing address

1560 E. Maple Rd., Suite 400-CREDENTIALING
Troy, MI 48083-1138

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000X4301054761 (MI)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

28 other providers at this address

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About NPI 1114384757

University Physician Group's National Provider Identifier is 1114384757, issued on Jan 27, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Southfield, MI. The record was last updated on Dec 1, 2016.