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JERRY S. WAKE, O.D., INC.
NPI 1942611199
Optometrist - Corneal and Contact Management in Gardena, CA

Active since May 09, 2014
1630 W REDONDO BEACH BLVD STE 1, GARDENA, CA 90247(310) 324-8205 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerry S. Wake, O.d., Inc. NPPES

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

JERRY S. WAKE, O.D., INC. (NPI 1942611199) is a healthcare organization registered as a corneal and contact management in Gardena, California and active in the NPI registry since May 2014. The organization lists Jerry Wake, Owner, as its authorized official.Information from the official NPPES registry record, last updated September 23, 2014.

NPPES Registry Identity

NPI1942611199
Entity TypeOrganization
Legal Business NameJERRY S. WAKE, O.D., INC.
Location Address1630 W REDONDO BEACH BLVD STE 1Gardena, CA 90247-3200
Mailing Address1630 W Redondo Beach Blvd Ste 1Gardena, CA 90247-3200 · (310) 324-8205
Phone(310) 324-8205
Organization SubpartNo
Authorized OfficialJerry WakeOwner · (310) 324-8205
Enumeration DateMay 9, 2014
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1942611199 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Optometrist · Corneal and Contact Management

Taxonomy 152WC0802X · Eye and Vision Services Providers

✔ Licensed in CA · 5790T

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful… Show more

Also Listed

Optometrist

Taxonomy 152W00000X · Eye and Vision Services Providers

✔ Licensed in CA · 5790T
1630 W REDONDO BEACH BLVD STE 1, Gardena, CA 90247
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Also on File with NPPES

Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)
Accepted insurance plans are listed on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

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Frequently Asked Questions

What is JERRY S. WAKE, O.D., INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1942611199, enumerated as an "organization" on May 09, 2014.

Where is the provider located?

The provider is located at 1630 W REDONDO BEACH BLVD STE 1 GARDENA, CA 90247 and the phone number is (310) 324-8205.

What is the provider's specialty?

Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.

What insurance does JERRY S. WAKE, O.D., INC. accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and Blue. Please consult your insurance carrier or call the provider to verify.