SUMMIT EYE CARE SURGERY CENTER, PLLC
NPI 1467060327
Clinic/Center - Ambulatory Surgical in Winston Salem, NC

NPI Status: Active since July 16, 2020

Contact Information

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

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 34D2066213
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-23-2027

About SUMMIT EYE CARE SURGERY CENTER, PLLC

This page provides the complete NPI Profile along with additional information for Summit Eye Care Surgery Center, Pllc, a provider established in Winston Salem, North Carolina operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1467060327 assigned on July 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Vickas Khemsara Md (Ceo)

NPI
1467060327
Provider Name
SUMMIT EYE CARE SURGERY CENTER, PLLC
Entity Type
Organization
Location Address
3073 TRENWEST DR WINSTON SALEM, NC 27103
Location Phone
(336) 765-0960
Location Fax
(336) 765-7453
Mailing Address
3073 TRENWEST DR WINSTON SALEM, NC 27103
Mailing Phone
(336) 765-0960
Mailing Fax
(336) 765-7453
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2020
Last Update Date
07-16-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QS0132XAmbulatory Health Care Facilities

Clinic/Center
Ophthalmologic Surgery

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VICKAS KHEMSARA MD

Authorized Official Title
CEO
Authorized Official Phone
(336) 765-0910

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2066213
Facility Type
Physician Office
Certificate Effective Date
September 24, 2025
Certificate Expiration Date
September 23, 2027
Laboratory Director
VIC KHEMSARA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Summit Eye Care Surgery Center, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467060327, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 0 + 6 + 0 + 3 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1467060327.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
3073 TRENWEST DR
WINSTON-SALEM, NC 27103
Nurse Practitioner (Adult Health)
3073 TRENWEST DR
WINSTON-SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
3073 TRENWEST DR
WINSTON-SALEM, NC 27103
Nurse Anesthetist, Certified Registered
3073 TRENWEST DR
WINSTON SALEM, NC 27103
Ophthalmology
3073 TRENWEST DR
WINSTON SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467060327, enumerated as an "organization" on July 16, 2020.

The provider is located at 3073 TRENWEST DR WINSTON SALEM, NC 27103 and the phone number is (336) 765-0960.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.