Jerry S. Wake, O.D., Inc.
LBN: Jerry S. Wake, O.D., Inc.
Jerry S. Wake, O.D., Inc. is an health care organization with primary practice located at 1630 W Redondo Beach Blvd Ste 1 , Gardena CA 90247-3200. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is the primary health care specialty.
Jerry S. Wake, O.D., Inc. can be contacted via phone (310) 324-8205, or through Wake, Jerry via phone (310) 324-8205.
Contact Information
Primary practice address
1630 W Redondo Beach Blvd Ste 1
Gardena CA 90247-3200
Phone: (310) 324-8205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5790T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 5790T | California |
Profile Details
| NPI number | 1942611199 |
|---|---|
| LBN Legal business name | Jerry S. Wake, O.D., Inc. |
| DBA Doing business as | |
| Authorized official | Wake, Jerry Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2014 |
| Last updated | Sep 23rd, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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