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Organization

JENNIFER DJIE WITKOWSKI, O.D. A PROFESSIONAL CORPORATION

Active
Other names
Eyecare Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER DJIE WITKOWSKI (OWNER)
(310) 540-3787
Entity
Organization

Contact information

Practice address
1760 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277-5902
(310) 540-3787
Mailing address
1760 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277-5902

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255484556
CARRIE SAITO
CA
01
1306370093
SUSAN CHOE
CA
01
1619028453
JENNIFER DJIE-WITKOWSKI
CA
Enumeration date
04/12/2018
Last updated
12/19/2024
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