# MICHAEL J. DODD, M.D., P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryland Eye Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639187875
- **Authorized official:** MR. DONALD BARTNICK (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (410) 535-2270

## Contact information

- **Practice address:** 800 PRINCE FREDERICK BLVD., PRINCE FREDERICK, MD 20678
- **Practice address phone:** (410) 535-2270
- **Practice address fax:** (410) 535-5749
- **Mailing address:** 800 PRINCE FREDERICK BLVD., PRINCE FREDERICK, MD 20678
- **Mailing address phone:** (410) 535-2270
- **Mailing address fax:** (410) 535-5749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 09/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 093861102 | — | MD |
| 01 | — | 477099 | AETNA HMO | MD |
| 01 | — | 5502048 | AETNA PPO | MD |
| 01 | — | C074 | GHMSI | DC |
| 01 | — | CC0607 | RAILROAD MEDICARE | MD |
| 01 | — | KN35MI | CAREFIRST BCBS | MD |