Christopher Joseph Pataluch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002539B Issued in IN

Practice address

5721 Coventry LN
Fort Wayne, IN 46804-7146

Phone

(260) 436-3551

NPI assigned

Dec 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1991

Medicare assignment

May accept Medicare assignment

Group practices

C J Pataluch OD PCGroup PAC ID 8022207687, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C J Pataluch OD PC

  • Optometrist
  • Fort Wayne, IN
  • NPI 1760786503
  Medicare reassignment Care Compare group NPD Authorized official
• Longe Optical North Inc.

  • Eyewear Supplier
  • Fort Wayne, IN
  • NPI 1992039929
  NPD (past)
• Longe Optical- North Inc.

  dba Longe Optical

  • Eyewear Supplier
  • Fort Wayne, IN
  • NPI 1548593072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235293903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 COVENTRY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047146",
            "telephone_number": "260-436-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 COVENTRY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047146",
            "telephone_number": "260-436-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATALUCH",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002539B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Novak Pasalich, MD
• Vivian Pashova, FNP-C
• Passion Driven LLC
• Cara Anne Passmore, MSW, LCSW
• Emma Mary Pastula, PHARMD
• Amanda J Patch, M.D.
• Aakash Patel, PHARMD
• Anjali Patel
• Bhavik Hasmukhbhai Patel, MD
• Bhavika Patel, PHARMD

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.