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DR. JERRY STANLEY WAKE O.D.
NPI 1013033059
Optometrist in Gardena, CA

Active since March 21, 2007
1630 W REDONDO BEACH BLVD, SUITE #1, GARDENA, CA 90247(310) 324-8205 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry Stanley Wake O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY STANLEY WAKE O.D. (NPI 1013033059) is an individual optometrist in Gardena, California, licensed in California (5790T) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1013033059
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY STANLEY WAKECredential: O.D.
Location Address1630 W REDONDO BEACH BLVD, SUITE #1Gardena, CA 90247-3200
Mailing Address1630 W Redondo Beach Blvd, Suite #1Gardena, CA 90247-3200 · (310) 324-8205
Phone(310) 324-8205
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateMay 2, 2014
✔ NPI 1013033059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 5790T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 5790T (CA)
1630 W REDONDO BEACH BLVD, Gardena, CA 90247
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Other Identifiers 1

Medicare UPINU61000CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEIJI PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1630 W REDONDO BEACH BLVD, STE 14
GARDENA, CA 90247
Los Angeles County (310) 538-2885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Wake's NPI number?

The NPI number for Jerry Wake is 1013033059. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Jerry Wake located?

Jerry Wake practices at 1630 W Redondo Beach Blvd Suite #1, Gardena, CA 90247. The listed phone number is (310) 324-8205.

What is Jerry Wake's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Jerry Wake accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Jerry Wake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Wake was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.