Jennifer Djie Witkowski, O.D. A Professional Corporation
NPI 1053818385ActiveOrganization· Optometrist· Redondo Beach, CA
Optometrist in Redondo Beach, California, registered in NPPES in April 2018. The authorized official on file is Jennifer Djie Witkowski, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053818385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2018 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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