Healthcare Provider Details

I. General information

NPI: 1760396816
Provider Name (Legal Business Name): SEAS FAMILY EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2567 HOUSLEY RD
ANNAPOLIS MD
21401-6751
US

IV. Provider business mailing address

2567 HOUSLEY RD
ANNAPOLIS MD
21401-6751
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-2306
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: RHAMMI ELSHAZLI
Title or Position: MANAGING MEMBER
Credential:
Phone: 410-224-2306