Individual provider · Type 1 NPI

Jerry Stanley Wake, OD

Optometrist · Gardena, CA

NPI number 1013033059 Active

Practice location

1630 W Redondo Beach Blvd, Suite #1
Gardena, CA 90247-3200

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X5790T (CA)
Corneal and Contact Management Optometrist 152WC0802X5790T (CA)

Optometrist: 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 e…

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About NPI 1013033059

Jerry Stanley Wake, OD's National Provider Identifier is 1013033059, issued on Mar 21, 2007. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Gardena, CA. The record was last updated on May 2, 2014.