Khemsara, Vickas

Khemsara, Vickas is an individual health care provider with primary practice located at 1710 South Hawthorne Rd Summit Eye Care, Winston Salem NC 27103-4016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Khemsara, Vickas can be contacted via phone (336) 765-0960.

Contact Information

Primary practice address

1710 South Hawthorne Rd Summit Eye Care Winston Salem NC 27103-4016

Phone: (336) 765-0960

Fax: (336) 765-7453

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Ophthalmology	207W00000X	01566	North Carolina

Profile Details

NPI number	1477557023
LBN Legal business name	Khemsara, Vickas
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 10th, 2005
Last updated	Apr 6th, 2010 - about 14 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1477557023	NPPES
	Other	10584171	CAQH
	Other	01566	CAQH
	MEDICAID	5910540	CAQH

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