Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

University Physician Group

Organization Optometrist · NPI 1063452233

University Physician Group is an Optometrist in Detroit, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4717 Saint Antoine St
Detroit, MI 48201-1423
Phone: (313) 577-8900
Fax: (313) 577-0700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1063452233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffery Kohlitz — Chief Financial Officer · (248) 581-5930
Other names Wayne State University Physician Group
NPI enumeratedJune 7, 2006
Last updated in NPPESOctober 26, 2016
Mailing address1560 E. Maple Rd., Suite 400-Credentialing Dept., Troy, MI 48083-1138

Other providers in Detroit