DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JENNIFER DJIE WITKOWSKI O.D.

MEDICARE: JENNIFER DJIE WITKOWSKI O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist10270 TCA

General Provider Information

NPI Number : 1619028453
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DJIE WITKOWSKI O.D.
Provider Business Mailing Address
First Line : 4937 MINTURN AVE
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-3113
Country : US
Telephone Number : 562-529-6023
Fax Number :
Provider Business Practice Location Address
First Line : 1760 S PACIFIC COAST HWY
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5902
Country : US
Telephone Number : 310-540-2970
Fax Number : 310-540-1312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1093870925 — ANN M CLARK O.D.
Practice Location Address:
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA
90277-5902
Practice Phone: 310-540-2970
Practice Fax:
1639229461 — TING TING HSU O.D.
Practice Location Address:
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA
90277-5902
Practice Phone: 310-540-2970
Practice Fax: 310-540-1312
1760536585 — LUXOTTICA OF AMERICA INC.
Practice Location Address:
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA
90277-5902
Practice Phone: 310-540-2970
Practice Fax:
1386957124 — DR. DANNY KHANG HUY NGO O.D.
Practice Location Address:
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA
90277-5902
Practice Phone: 310-540-2970
Practice Fax:
1841630696 — DR. MONISHA SHONA PARIPATYADAR O.D.
Practice Location Address:
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA
90277-5902
Practice Phone: 310-540-2970
Practice Fax:
1306370093 — DR. SUSAN CHOE O.D.
Practice Location Address:
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA
90277-5902
Practice Phone: 310-540-2970
Practice Fax:

Directions to “ JENNIFER DJIE WITKOWSKI O.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.