Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jared Robert Widder, DO

Individual provider Military Health Care Provider · NPI 1073048963

Dr. Jared Robert Widder, DO is an Ophthalmology in Los Angeles, California. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2017, 9 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
CA
In the registry since
2017
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

100 Stein Plz Fl 1
Los Angeles, CA 90095-5000
Phone: (310) 825-3090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Naval Medical Ctr, San Diego, CA 92134-5000 — (619) 532-5998

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 16655 (CA)
Military Health Care Provider Taxonomy 171000000X
Glaucoma Specialist (Ophthalmology) Physician Taxonomy 207WX0009X · Licence 16655 (CA)

Record details

NPI number1073048963
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2017 (9 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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