| Jerry S. Wake, O.d., Inc. | |
|
1630 W Redondo Beach Blvd Ste 1, Gardena, CA 90247-3200 | |
| (310) 324-8205 | |
| Not Available |
| Full Name | Jerry S. Wake, O.d., Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 1630 W Redondo Beach Blvd Ste 1, Gardena, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942611199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5790T (California) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 5790T (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry S. Wake, O.d., Inc. 1630 W Redondo Beach Blvd Ste 1, Gardena, CA 90247-3200 Ph: (310) 324-8205 | Jerry S. Wake, O.d., Inc. 1630 W Redondo Beach Blvd Ste 1, Gardena, CA 90247-3200 Ph: (310) 324-8205 |
Dr. Jerry Stanley Wake, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1630 W Redondo Beach Blvd, Suite #1, Gardena, CA 90247 Phone: 310-324-8205 | |
Joel Goodman Od A Prof Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1713 W Artesia Blvd, Gardena, CA 90248 Phone: 310-329-4128 Fax: 310-329-9180 | |
East-west Eye Institute A Medical Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 879 W 190th St Ste 100, Gardena, CA 90248 Phone: 310-329-9975 Fax: 310-329-4759 | |
Michael Kobayashi, Od Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18204 S Western Ave, Gardena, CA 90248 Phone: 310-719-2020 Fax: 310-719-2068 | |
Nancy T Imamoto Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1713 W Artesia Blvd, Gardena, CA 90248 Phone: 310-329-4128 Fax: 310-329-9180 | |
Yoshioka Optometry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1425 W Artesia Blvd, Ste #32, Gardena, CA 90248 Phone: 310-769-1642 | |
Cecilia Chang Raju, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15446 S Western Ave, Gardena, CA 90249 Phone: 310-217-5370 |