EYE PHYSICIANS & FACIAL PLASTIC SURGERY, LLC (NPI# 1942655477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942655477 |
| Entity Type | Organization |
| Organization Name | EYE PHYSICIANS & FACIAL PLASTIC SURGERY, LLC |
| Practice Address |
5900 N Main St Dayton OH 45415-3150 |
| Mailing Address |
Po Box 1314 Dayton OH 45401-1314 |
| Practice Telephone | 9372742733 |
| Practice Fax Number | 9372742737 |
| Mailing Telephone | 9372742733 |
| Mailing Fax Number | 9372742737 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | KEVIN J WATT (OWNER) |
| Authorized Official Telephone | 9372742733 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
35-071393W | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2111324 | 05 |
| Street Address |
5900 N MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053420612 | Eric Stanley Nordin | Family Medicine | 5900 N Main St, Dayton, OH 45415-3150 | 2006-08-29 |
| 1245724236 | Visionary Health By M2c | Clinic/Center | 5900 N Main St, Dayton, OH 45415-3150 | 2018-06-21 |
| 1306383153 | Revention Medicine | Non-Pharmacy Dispensing Site | 5900 N Main St, Dayton, OH 45415-3150 | 2017-01-31 |
| 1255526471 | Shiloh Family Medicine LLC | Family Medicine | 5900 N Main St, Dayton, OH 45415-3150 | 2007-09-11 |
| 1780753707 | Everett Jan Wilson | Family Medicine | 5900 N Main St, Dayton, OH 45415-3150 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194744698 | Walter Hartel | Ophthalmology | 89 Sylvania Dr, Dayton, OH 45440-3281 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598794125 | Julian D Perry | Ophthalmology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-07-03 |
Please comment or provide details below to improve the information on EYE PHYSICIANS & FACIAL PLASTIC SURGERY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.