Trent L. Vande Garde
Ophthalmologist
619 Sw Corporate View
Topeka
, Kansas 66615
Trent L. Vande Garde
Ophthalmologist
619 Sw Corporate View
Topeka
, Kansas 66615
(785) 235-1217
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Trent L. Vande Garde
- 619 Sw Corporate View
- Topeka, KS
- Zip : 66615
- Fax : (785) 235-1217
- Phone : (785) 235-3322
Second Address
- Trent L. Vande Garde
- 619 Sw Corporate View
- Topeka, KS
- Zip : 66615
- Fax : (785) 235-1217
- Phone : (785) 235-3322
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 04-28231 | KS |
National Provider Identifier
| NPI | 1023128691 |
|---|---|
| Provider Name | Trent L. Vande Garde |
| First Address | Topeka, KS 66615 |
| Second Address | Topeka, KS 66615 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 08/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100421700A | (05) | KS |
| 101177 | BCBS OF KS (01) | KS |
| 180042685 | PALMETTO GBA (01) | KS |
| G97854 | (02) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.