C J PATALUCH OD PC
NPI 1760786503
Optometrist in Fort Wayne, IN

Active since January 10, 2011
6709 W JEFFERSON BLVD, FORT WAYNE, IN 46804(765) 617-1890(260) 432-8506 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About C J Pataluch Od Pc NPPES

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

C J PATALUCH OD PC (NPI 1760786503) is a healthcare organization registered as an optometrist in Fort Wayne, Indiana and active in the NPI registry since January 2011. The organization lists Christopher Pataluch, President, as its authorized official.

NPPES Registry Identity

NPI1760786503
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameC J PATALUCH OD PC
Location Address6709 W JEFFERSON BLVDFort Wayne, IN 46804-6209
Mailing Address5659 Coventry LnFort Wayne, IN 46804-7145
Fax(260) 432-8506
Organization SubpartNo
Authorized OfficialChristopher PataluchPresident · (260) 432-8409
Enumeration DateJanuary 10, 2011
Last NPPES UpdateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1760786503 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 IN · 18002539B
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.
6709 W JEFFERSON BLVD, Fort Wayne, IN 46804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

C J Pataluch Od Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to C J Pataluch Od PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Optometry
NPI 1154480911
6709 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-8409
✔ PECOSSame address
Optometry
NPI 1235293903
5721 COVENTRY LN
Fort Wayne, IN 46804
(260) 436-3551
✔ PECOS2.1 mi
Optometry
NPI 1952831844
5735 MEEKER RD
Greenville, OH 45331
(937) 548-6111
✔ PECOS74 mi
Optometry
NPI 1609141233
2740 NAVARRE AVE
Oregon, OH 43616
(419) 693-4444
✔ PECOS99 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 C J Pataluch Od PC's NPI number?

The NPI number for C J Pataluch Od PC is 1760786503. It was assigned to this organization in the NPPES registry on January 10, 2011.

Where is C J Pataluch Od PC located?

C J Pataluch Od PC is located at 6709 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (765) 617-1890.

What is C J Pataluch Od PC's specialty?

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

Is C J Pataluch Od PC enrolled in Medicare?

Yes. C J Pataluch Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through C J Pataluch Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to C J Pataluch Od PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does C J Pataluch Od PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list C J Pataluch Od PC 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 C J Pataluch Od PC was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.