Organization
SUMMIT EYE CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKAS KHEMSARA M.D. (PRESIDENT)
(336) 765-0960
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
207W00000X
Ophthalmology Physician
Primary
2008-01566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910540
—
NC
Enumeration date
06/16/2009
Last updated
03/21/2023
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