Doctor profile · Federal record
Dr. Jerry Wake, O.D.
Optometrist · Corneal and Contact Management Optometrist · Gardena, CA
- NPI 1013033059
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1630 W Redondo Beach Blvd, Suite #1
Gardena, CA 902473200
(310) 324-8205
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- May 2, 2014
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- California #5790T
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013033059. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$116
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CooperVision INC. | 3 | $96.82 | |
| Abb Con-Cise Optical Group LLC | 1 | $19.45 |
By nature of payment
Frequently asked questions
What is Dr. Jerry Wake's medical specialty?
Dr. Jerry Wake practices Optometrist in Gardena, CA.
Where does Dr. Jerry Wake practice?
Dr. Jerry Wake practices at 1630 W Redondo Beach Blvd, Gardena, CA 902473200. Office phone: 3103248205.
What is Dr. Jerry Wake's NPI?
Dr. Jerry Wake's National Provider Identifier (NPI) is 1013033059, issued by NPPES.