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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

C J PATALUCH OD PC

Active Organization

C J PATALUCH OD PC is a Optometrist organization located in FORT WAYNE, Indiana. NPI 1760786503 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FORT WAYNE, IN

Registration Details

NPI Number
1760786503
Provider Type
Organization
NPI Issued
Jan 10, 2011 (15.57261363103 yrs)
Last Updated
Jul 26, 2022
License
18002539B (IN)

Practice Information

Address
6709 W JEFFERSON BLVD
FORT WAYNE, IN, 468046209
Browse IN providers · Browse ZIP 46804
Phone
7656171890
Fax
2604328506
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.