| C J Pataluch Od Pc | |
|
6709 W Jefferson Blvd, Fort Wayne, IN 46804-6209 | |
| (765) 617-1890 | |
| (260) 432-8506 |
| Full Name | C J Pataluch Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6709 W Jefferson Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760786503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18002539B (Indiana) | Primary |
| Provider Name | Christopher Joseph Pataluch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235293903 PECOS PAC ID: 0345439915 Enrollment ID: I20110112001017 |
| Provider Name | Christina Kennedy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154480911 PECOS PAC ID: 4981979358 Enrollment ID: I20171011001248 |
| Provider Name | Ashley Nicole Schoenherr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952831844 PECOS PAC ID: 8820360696 Enrollment ID: I20190611003546 |
| Provider Name | Kyle Weaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609141233 PECOS PAC ID: 4587929286 Enrollment ID: I20221202001434 |
| Mailing Address | Practice Location Address |
|---|---|
| C J Pataluch Od Pc 5659 Coventry Ln, Fort Wayne, IN 46804-7145 Ph: () - | C J Pataluch Od Pc 6709 W Jefferson Blvd, Fort Wayne, IN 46804-6209 Ph: (765) 617-1890 |
Dr. Martin R. White, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6110 Maplecrest Rd, Fort Wayne, IN 46835 Phone: 260-486-8833 Fax: 260-486-8784 | |
Dr. George D Taylor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3401 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-3095 Fax: 260-420-2258 | |
Eric Skorupa, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2001 Reed Rd, Fort Wayne, IN 46815 Phone: 260-426-5663 Fax: 260-426-5693 | |
Rutan Optometry Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5229 Coldwater Rd, Fort Wayne, IN 46825 Phone: 260-484-1453 Fax: 260-483-8287 | |
Brent D. Burch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7625 Southtown Xing, Fort Wayne, IN 46816 Phone: 260-447-9731 Fax: 260-441-8276 | |
Dr. Frank Robinson Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6710 Old Trail Rd, Fort Wayne, IN 46809 Phone: 260-203-5905 Fax: 260-218-1802 | |
Dr. Daniel P Taylor, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 431 W Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-484-8516 Fax: 260-484-8521 |