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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: August 09, 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.

NPPES Registry Identity

NPI1942611199
Entity TypeOrganization
Primary Taxonomy152WC0802X
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.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in CA · 5790T
Definition
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 contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License 5790T (CA)
1630 W REDONDO BEACH BLVD STE 1, Gardena, CA 90247
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.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.

SUMMER MCGEEVER OD INC
Optometrist
1630 W REDONDO BEACH BLVD STE 1
GARDENA, CA 90247
Los Angeles County (310) 324-8205

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 S. Wake, O.D., Inc.'s NPI number?

The NPI number for Jerry S. Wake, O.D., Inc. is 1942611199. It was assigned to this organization in the NPPES registry on May 9, 2014.

Where is Jerry S. Wake, O.D., Inc. located?

Jerry S. Wake, O.D., Inc. is located at 1630 W Redondo Beach Blvd Ste 1, Gardena, CA 90247. The listed phone number is (310) 324-8205.

What is Jerry S. Wake, O.D., Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

What insurance does Jerry S. Wake, O.D., Inc. accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Jerry S. Wake, O.D., Inc. 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 S. Wake, O.D., Inc. was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.