Organization
SUMMIT EYE CARE SURGERY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKAS KHEMSARA MD (CEO)
(336) 765-0910
Entity
Organization
Contact information
Practice address
3073 TRENWEST DR, WINSTON SALEM, NC 27103-3207
(336) 765-0960
(336) 765-7453
Mailing address
3073 TRENWEST DR, WINSTON SALEM, NC 27103-3207
(336) 765-0960
(336) 765-7453
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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