# EYEPHYSICIANS & FACIAL PLASTIC SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EYE PHYSICIANS & FACIAL PLASTIC SURGERY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073444121
- **Legal business name:** EYE PHYSICIANS & FACIAL PLASTIC SURGERY, LLC
- **Authorized official:** KEVIN JEROME WATT MD (OWNER/OPHTHALMOLOGIST)
- **Authorized official phone:** (937) 274-2733

## Contact information

- **Practice address:** 7111 N MAIN ST STE 10, DAYTON, OH 45415-2558
- **Practice address phone:** (937) 274-2733
- **Practice address fax:** (937) 274-2737
- **Mailing address:** PO BOX 1314, DAYTON, OH 45401-1314
- **Mailing address phone:** (937) 274-2733
- **Mailing address fax:** (937) 274-2737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2026
- **Last updated:** 05/27/2026
