Jennifer Djie Witkowski, O.D. a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JENNIFER DJIE WITKOWSKI, O.D. A PROFESSIONAL CORPORATION

Doing business as

Eyecare Optometry

Practice address

1760 S Pacific Coast Hwy
Redondo Beach, CA 90277-5902

Phone

(310) 540-3787

NPI assigned

Apr 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Djie WitkowskiNPI 1619028453

Title

Owner

Phone

(310) 540-3787

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Eyecare Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Djie Witkowski, O.D.

  • Optometrist
  • Redondo Beach, CA
  • NPI 1619028453
  Medicare reassignment Care Compare group NPD Authorized official
• Denise Lynn Lemke, OD

  • Optometrist
  • Redondo Beach, CA
  • NPI 1215810528
  Medicare reassignment Care Compare group NPD
• Dana Yen Nguyen, OD

  • Optometrist
  • Redondo Beach, CA
  • NPI 1780365502
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1053818385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 S PACIFIC COAST HWY",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775902",
            "telephone_number": "310-540-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER DJIE WITKOWSKI, O.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "WITKOWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DJIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-540-3787"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUSAN CHOE",
            "identifier": "1306370093",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JENNIFER DJIE-WITKOWSKI",
            "identifier": "1619028453",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARRIE SAITO",
            "identifier": "1255484556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaoru Janson
• John J Jarocinski Jr., D.C., M.U.A.C.
• Christine E. Jaynes-Bell, PH.D.
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• Gevon Jenkins
• Pyengsoo Jeong
• Sabrina Jerozal
• Jia Acupunture Inc. (Beijing Healthcare)
• Weihong Jia, ACUPUNCTURIST
• Jille a. Dorler

• Optometrist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.