Provider Demographics
NPI:1154864627
Name:ALIZZI J STANCHEL LLC
Entity type:Organization
Organization Name:ALIZZI J STANCHEL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIZZI
Authorized Official - Middle Name:J
Authorized Official - Last Name:STANCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-904-7701
Mailing Address - Street 1:7351 ASSATEAGUE DR STE 250
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-3212
Mailing Address - Country:US
Mailing Address - Phone:410-904-7701
Mailing Address - Fax:
Practice Address - Street 1:7351 ASSATEAGUE DR STE 250
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794-3212
Practice Address - Country:US
Practice Address - Phone:410-904-7701
Practice Address - Fax:410-799-1285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2082152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty