Organization
SUMMIT EYE CARE OF MOCKSVILLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKAS KHEMSARA MD (OWNER)
(336) 765-0960
Entity
Organization
Contact information
Practice address
1102C YADKINVILLE RD, MOCKSVILLE, NC 27028-2037
(336) 751-5734
(336) 751-4968
Mailing address
1102C YADKINVILLE RD, MOCKSVILLE, NC 27028-2037
(336) 751-5734
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
03/21/2023
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