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Active NPI 1013033059 Individual Practitioner Male Practitioner

Dr. Jerry Stanley Wake , OD

Optometrist • Gardena, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Wake, OD is a registered healthcare professional specializing in Optometrist in Gardena, CA. Practice services are available at 1630 W REDONDO BEACH BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1630 W Redondo Beach Blvd
Suite #1

Gardena, CA 902473200

Telephone 3103248205
Associated Practice Facility / Clinic
🏢 Meiji Pharmacy Inc Facility NPI 1619924297

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Gardena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.6 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Gardena, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 5790T

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.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License 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 contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2014

Registered at 1630 W REDONDO BEACH BLVD, SUITE #1, GARDENA, CA 902473200 (Tel: 3103248205)

📍
Updated Business Mailing Address May 02, 2014

Registered at 1630 W REDONDO BEACH BLVD, SUITE #1, GARDENA, CA 902473200 (Tel: 3103248205)

👤
Provider Name / Credentials Updated May 02, 2014

Recorded as JERRY WAKE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2014

Optometrist (License #5790T in CA)

🟢
Initial NPI Registration & Enumeration March 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013033059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: May 02, 2014
Sole Proprietor: No

Mailing Address

1630 W Redondo Beach Blvd, Suite #1

Gardena, CA 902473200

Phone: 3103248205

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.