JENNIFER DJIE WITKOWSKI O.D.
NPI 1619028453
Optometrist in Redondo Beach, CA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
1760 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277(310) 540-2970(310) 540-1312 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Djie Witkowski O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DJIE WITKOWSKI O.D. (NPI 1619028453) is an individual optometrist in Redondo Beach, California, licensed in California (10270 T) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1993).

NPPES Registry Identity

NPI1619028453
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJENNIFER DJIE WITKOWSKICredential: O.D.
Location Address1760 S PACIFIC COAST HWYRedondo Beach, CA 90277-5902
Mailing Address4937 Minturn AveLakewood, CA 90712-3113 · (562) 529-6023
Fax(310) 540-1312
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1993
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1619028453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 10270 T
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1760 S PACIFIC COAST HWY, Redondo Beach, CA 90277

Other Identifiers 2

Medicare ID-Type UnspecifiedWOP10270CA
Medicare UPINU45312CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Djie Witkowski O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537157862
PECOS Enrollment IDI20040504001508
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Optometrist
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Optometrist
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Optometrist
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Optometrist
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Optometrist
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Optometrist
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Optometrist
1760 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Witkowski's NPI number?

The NPI number for Jennifer Witkowski is 1619028453. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Jennifer Witkowski located?

Jennifer Witkowski practices at 1760 S Pacific Coast Hwy, Redondo Beach, CA 90277. The listed phone number is (310) 540-2970.

What is Jennifer Witkowski's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jennifer Witkowski enrolled in Medicare?

Yes. Jennifer Witkowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Witkowski accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jennifer Witkowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Witkowski was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.