Question 1

What type of a medical provider is Jerry Stanley Wake?

Accepted Answer

Jerry Stanley Wake is a Optometrist.

Question 2

Where does Jerry Stanley Wake practice medicine?

Accepted Answer

Jerry Stanley Wake has the following practice address:1630 W REDONDO BEACH BLVD, GARDENA, CA 90247-3200

Question 3

Does this provider have a license number?

Accepted Answer

Jerry Stanley Wake has the following license number: License Number 5790T issued in California.

Question 4

Does Jerry Stanley Wake accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Jerry Stanley Wake have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Jerry Stanley Wake a member of any Medical Groups?

Accepted Answer

Jerry Stanley Wake is not affiliated with any medical groups.

Question 7

Does Jerry Stanley Wake participate in PECOS?

Accepted Answer

Yes, Jerry Stanley Wake participates in PECOS.

Question 8

What phone number can I call to contact Jerry Stanley Wake?

Accepted Answer

You can call the following number: (310)-324-8205

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Jerry Stanley Wake.

Question 10

Is Jerry Stanley Wake  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 11 years ago (5/2/2014).

Taxonomy	State	Primary?
Optometrist - Taxonomy Code 152W00000X	CA	Y
Optometrist (Corneal and Contact Management) - Taxonomy Code 152WC0802X	CA	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	-

Jerry Stanley Wake

Overview