Summit Eye Care, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2008-01566 Issued in NC

Legal business name

SUMMIT EYE CARE, P.A.

Practice address

3073 Trenwest Dr
Winston Salem, NC 27103-3207

Phone

(336) 765-0960

Fax

(336) 765-7453

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Vickas Khemsara, M.D.NPI 1477557023

Title

President

Phone

(336) 765-0960

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vickas Khemsara, MD

  • Ophthalmology Physician
  • Winston Salem, NC
  • NPI 1477557023
  Medicare reassignment Care Compare group NPD Authorized official
• Paul Keith Biggs, O.D.

  • Optometrist
  • Winston Salem, NC
  • NPI 1386027159
  Medicare reassignment Care Compare group NPD
• Henry Campbell McNaughton Black

  • Physician Assistant
  • Raleigh, NC
  • NPI 1821712175
  Medicare reassignment Care Compare group
• Steven G Laymon, OD

  • Optometrist
  • Mocksville, NC
  • NPI 1467459859
  NPD (past)
• Peter Michael Rogaski, OD

  • Optometrist
  • Thomasville, NC
  • NPI 1629051693
  NPD (past)
• Theresa Ann Watt

  • Optometrist
  • Mocksville, NC
  • NPI 1134758295
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1992932016",
    "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": [
        {
            "address_1": "1102C Yadkinville Rd",
            "address_purpose": "LOCATION",
            "city": "Mocksville",
            "state": "NC",
            "postal_code": "270282037",
            "country_code": "US",
            "telephone_number": "336-765-0960",
            "fax_number": "336-765-7453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "KHEMSARA",
        "authorized_official_first_name": "VICKAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-765-0960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2008-01566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910540",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carli Allen Summers, MSN, APRN, NNP-BC
• Erik C Summers, MD
• Helena G Summers, M.D.
• Wilfred Gerald Summers Jr.
• Summit Eye Care Surgery Center, PLLC
• Summit Eye Care, PA
• Summit Sleep Disorder Center, PA
• Summit Sleep Disorder Center, PA
• Summit Sleep Disorder Center, PA
• Summit Sleep Disorder Center, PA

• Ophthalmology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.