Provider Demographics
NPI:1033398029
Name:STANCHEL, ALIZZI (OD)
Entity type:Individual
Prefix:
First Name:ALIZZI
Middle Name:
Last Name:STANCHEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007234-1152W00000X
MDTA2082152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist