Peter P. Dettlaff is a Optometrist in Minot, North Dakota. Peter P. Dettlaff practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Peter P. Dettlaff is 1619049277. The last update date is 2007-07-08.
Peter P. Dettlaff's current location address is 3900 S. Broadway St., Minot, North Dakota. You can contact this provider via phone number 7018398726. The mailing address for Peter P. Dettlaff is 3900 S. Broadway St., Minot, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter P. Dettlaff |
|---|---|
| Address | 3900 S. Broadway St., Minot, North Dakota |
| Phone Number | 7018398726 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1619049277 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3900 S. Broadway St. |
|---|---|
| City | Minot |
| State | North Dakota (ND) |
| Post Code | 587017534 |
| Phone Number | 7018398726 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 399 |
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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 |
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What is the unique identification code assigned to Peter P. Dettlaff by the Centers for Medicare & Medicaid Services?
The Peter P. Dettlaff has been issued the NPI (National Provider Identifier) 1619049277. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Peter P. Dettlaff is geographically located?
The Peter P. Dettlaff is physically situated at the following location: 3900 S. Broadway St., Minot, ND, 587017534.
What is Peter P. Dettlaff's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peter P. Dettlaff is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When did Peter P. Dettlaff receive its 1619049277 assignment?
The Peter P. Dettlaff was assigned its 1619049277 on 2006-11-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Peter P. Dettlaff, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peter P. Dettlaff, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.