Organization · Type 2 NPI

University Physician Group

Eyewear Supplier · Detroit, MI

NPI number 1255370052 Active

Practice location

4717 Saint Antoine St, Kresge Eye Institute
Detroit, MI 48201-1423

Call (313) 577-8900 Map

Fax (313) 577-0700

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.

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About NPI 1255370052

University Physician Group's National Provider Identifier is 1255370052, issued on Jun 6, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 1, 2016.