Organization Active NPI

Michael J. Dodd, M.D., PA

  • Optician
  • Prince Frederick, MD
National Provider Identifier
1730235201
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MICHAEL J. DODD, M.D., PA
Practice address
800 Prince Frederick Boulevard
Prince Frederick, MD 20678
Phone
(410) 535-5800
Fax
(410) 535-5749
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald Bartnick
Title
Ceo
Phone
(410) 535-2270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

800 Prince Frederick Boulevard
Prince Frederick, MD 20678

Mailing address

800 Prince Frederick Boulevard
Prince Frederick, MD 20678
Phone (410) 535-5800

Other identifiers 2

IdentifierTypeStateIssuer
X878MAOtherMDCAREFIRST BCBS
0968390001OtherMDGHMSI

Other names 1

  • Eye Associates Optical Doing business as

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2629 Riva Rd
Ste 102
Annapolis, MD 21401
Phone (410) 224-4550

14458 Old Mill Rd
Ste 101
Uppr Marlboro, MD 20772
Phone (301) 627-8404

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1730235201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PRINCE FREDERICK BOULEVARD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-5800",
            "fax_number": "410-535-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRINCE FREDERICK BOULEVARD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-5800",
            "fax_number": "410-535-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. DODD, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "BARTNICK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-535-2270"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "X878MA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "0968390001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.