SUMMIT EYE CARE SURGERY CENTER PLLC NPI 1467060327

NPI Information

  • NPI: 1467060327
  • Provider Name: SUMMIT EYE CARE SURGERY CENTER, PLLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 34D2066213
  • Address: 3073 TRENWEST DR
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 765-0960

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NPI Details

SUMMIT EYE CARE SURGERY CENTER, PLLC is an ambulatory surgical clinic center in Winston Salem, NC. SUMMIT EYE CARE SURGERY CENTER, PLLC NPI is 1467060327. The provider is registered as an organization entity type.

The provider's business location address is:

3073 TRENWEST DR
WINSTON SALEM, NC
ZIP 27103-207
Phone: (336) 765-0960
Fax: (336) 765-7453

The provider's authorized official is Vickas Khemsara .
The authorized official title is Ceo and has the following contact phone number (336) 765-0910.

The CLIA number assigned to this NPI record is 34D2066213 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2020 and was last updated on 7/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes
2261QS0132XClinic/CenterOphthalmologic SurgeryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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