JERRY S. WAKE O.D. INC. NPI 1942611199

NPI Information

JERRY S. WAKE, O.D., INC. is a corneal and contact management optometrist in Gardena, CA. The provider is 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. JERRY S. WAKE, O.D., INC. NPI is 1942611199. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1630 W REDONDO BEACH BLVD STE 1
GARDENA, CA
ZIP 90247-200
Phone: (310) 324-8205

The provider's authorized official is Jerry Wake .
The authorized official title is Owner and has the following contact phone number (310) 324-8205.

The enumeration date for this NPI number is 5/9/2014 and was last updated on 9/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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