Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry S. Wake, OD, Inc

Organization Optometrist · NPI 1942611199

Jerry S. Wake, OD, Inc is an Optometrist in Gardena, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1630 W Redondo Beach Blvd Ste 1
Gardena, CA 90247-3200
Phone: (310) 324-8205
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Corneal and Contact Management Optometrist (primary) Taxonomy 152WC0802X · Licence 5790T (CA)
Optometrist Taxonomy 152W00000X · Licence 5790T (CA)

Record details

NPI number1942611199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Wake — Owner · (310) 324-8205
NPI enumeratedMay 9, 2014
Last updated in NPPESSeptember 23, 2014
Mailing address1630 W Redondo Beach Blvd Ste 1, Gardena, CA 90247-3200

Other providers in Gardena