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Peter Dettlaff, O.D.
NPI 1619049277 · Optometrist · Minot, ND
Peter Dettlaff, O.D. is a Optometrist provider in Minot, ND (NPI 1619049277).
Provider details
- NPI number
- 1619049277
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 399 (ND)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3900 S. Broadway St.
Minot, ND 58701-7534
Phone: (701) 839-8726
Street-level locationGet directions
Mailing address
Po Box 1165
Washburn, ND 58577-1165
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Peter Dettlaff's NPI number?
- Peter Dettlaff's National Provider Identifier (NPI) is 1619049277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Dettlaff's specialty?
- Peter Dettlaff is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Peter Dettlaff located?
- Peter Dettlaff's practice location on file with NPPES is 3900 S. Broadway St., Minot, ND 58701-7534.
- What is Peter Dettlaff's phone number?
- The practice phone number listed in the NPPES registry for Peter Dettlaff is (701) 839-8726.
- Is Peter Dettlaff's NPI active?
- Yes — Peter Dettlaff's NPI (1619049277) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.