Peter P. Dettlaff P. C.
Peter P. Dettlaff P. C. is a healthcare organization registered as Optometrist in Minot, ND, holding Type 2 (organization) NPI 1720105240 since 2007. The authorized official on file is Peter Dettlaff, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720105240 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Peter P. Dettlaff P. C. |
| Practice address | 3900 S. BROADWAY ST., Minot, ND, 58701 |
| Phone | 7018398726 |
| Fax | 7018581741 |
| Enumeration date | 2007-03-22 |
| Last updated in NPPES | 2007-09-17 |
Authorized official
| Name | Peter Dettlaff |
|---|---|
| Title | President |
| Phone | 7018398726 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 399 | ND |
Copy-ready billing details
Provider: Peter P. Dettlaff P. C. NPI: 1720105240 Taxonomy: 152W00000X (Optometrist) Address: 3900 S. BROADWAY ST., Minot, ND, 58701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619049277 | Peter Dettlaff | Individual | Optometrist | Minot, ND |
Verify this record
Cross-check NPI 1720105240 against the authoritative CMS record: view Peter P. Dettlaff P. C. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Peter P. Dettlaff P. C.?
Who is the authorized official for Peter P. Dettlaff P. C.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-17.