OrganizationActive
University Physician Group
NPI 1114384757 · Eyewear Supplier · Southfield, MI
University Physician Group is a Eyewear Supplier organization in Southfield, MI (NPI 1114384757).
Provider details
- NPI number
- 1114384757
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jeffery Kohlitz, Chief Financial Officer(248) 581-5930
- License
- 4301054761 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
26400 W 12 Mile Rd
Suite 60
Southfield, MI 48034-1774
Phone: (248) 594-6702
Fax: (248) 594-6738
Street-level locationGet directions
Mailing address
1560 E. Maple Rd.
Troy, MI 48083-1138
Other names (DBA / former)
- Doing business as
- Wayne State University Physician Group
Registry dates
- Enumerated
- 2016-01-27
- Last updated
- 2016-12-01
Frequently asked questions
- What is University Physician Group's NPI number?
- University Physician Group's National Provider Identifier (NPI) is 1114384757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is University Physician Group?
- University Physician Group is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is University Physician Group located?
- University Physician Group's practice location on file with NPPES is 26400 W 12 Mile Rd, Southfield, MI 48034-1774.
- What is University Physician Group's phone number?
- The practice phone number listed in the NPPES registry for University Physician Group is (248) 594-6702.
- Who is the authorized official for University Physician Group?
- The authorized official listed on University Physician Group's NPPES record is Jeffery Kohlitz, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is University Physician Group's NPI active?
- Yes — University Physician Group's NPI (1114384757) is active in the NPPES registry as of the last update on 2016-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.