Healthcare Provider Details

I. General information

NPI: 1730908377
Provider Name (Legal Business Name): AESTHETICEYE OCULOPLASTIC SURGEONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7903 E KEMPER RD UNIT B
CINCINNATI OH
45249-1419
US

IV. Provider business mailing address

10 REMICK BLVD
SPRINGBORO OH
45066-9168
US

V. Phone/Fax

Practice location:
  • Phone: 513-513-5437
  • Fax: 937-907-1663
Mailing address:
  • Phone: 937-907-9009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN PARGAMENT
Title or Position: CEO
Credential: MD
Phone: 419-356-4774