DR. PETER P. DETTLAFF O.D.
NPI 1619049277
Optometrist in Minot, ND

Q: What is Peter Dettlaff's NPI number?

The NPI number for Peter Dettlaff is 1619049277. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Peter Dettlaff's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peter Dettlaff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 15, 2006

3900 S. BROADWAY ST., MINOT, ND 58701(701) 839-8726 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Peter P. Dettlaff O.d. NPPES

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

DR. PETER P. DETTLAFF O.D. (NPI 1619049277) is an individual optometrist in Minot, North Dakota, licensed in North Dakota (399) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1619049277

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. PETER P. DETTLAFFCredential: O.D.

Location Address3900 S. BROADWAY ST.Minot, ND 58701-7534

Mailing AddressPo Box 1165Washburn, ND 58577-1165 · (701) 462-8656

Phone(701) 839-8726

Sole ProprietorYes

Enumeration DateNovember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619049277 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 ND · 399

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.

3900 S. BROADWAY ST., Minot, ND 58701

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER P. DETTLAFF P. C.

Optometrist

3900 S. BROADWAY ST.
MINOT, ND 58701

Ward County (701) 839-8726

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 Peter Dettlaff's NPI number?

The NPI number for Peter Dettlaff is 1619049277. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Peter Dettlaff located?

Peter Dettlaff practices at 3900 S. Broadway St., Minot, ND 58701. The listed phone number is (701) 839-8726.

What is Peter Dettlaff's specialty?

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

When was this NPI record last updated?

The NPPES record for Peter Dettlaff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.