Summit Eye Care Surgery Center, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUMMIT EYE CARE SURGERY CENTER, PLLC

Practice address

3073 Trenwest Dr
Winston Salem, NC 27103-3207

Phone

(336) 765-0960

Fax

(336) 765-7453

NPI assigned

Jul 16, 2020

Last updated

Jul 16, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vickas Khemsara, MDNPI 1477557023

Title

Ceo

Phone

(336) 765-0910

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vickas Khemsara, MD

  • Ophthalmology Physician
  • Winston Salem, NC
  • NPI 1477557023
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1467060327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 TRENWEST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033207",
            "telephone_number": "336-765-0960",
            "fax_number": "336-765-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 TRENWEST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033207",
            "telephone_number": "336-765-0960",
            "fax_number": "336-765-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE CARE SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "KHEMSARA",
        "authorized_official_first_name": "VICKAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-765-0910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynne Summerford, PA-C
• Carli Allen Summers, MSN, APRN, NNP-BC
• Erik C Summers, MD
• Helena G Summers, M.D.
• Wilfred Gerald Summers Jr.
• Summit Eye Care, P.a.
• Summit Eye Care, PA (Accent Optical Company)
• Summit Sleep Disorder Center, PA
• Summit Sleep Disorder Center, PA
• Summit Sleep Disorder Center, PA

• Ambulatory Surgical Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.