Organization · Type 2 NPI

University Physician Group

Eyewear Supplier · Dearborn, MI

NPI number 1134492465 Active

Practice location

4700 Schaefer Rd, Suite 260
Dearborn, MI 48126-3698

Fax (313) 945-8731

Mailing address

1560 E Maple Rd, Suite 400-CREDENTIALING Dept.
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.

20 other providers at this address

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About NPI 1134492465

University Physician Group's National Provider Identifier is 1134492465, issued on Feb 16, 2012. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Dearborn, MI. The record was last updated on Dec 1, 2016.