Well Eyecare Physician LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WELL EYECARE PHYSICIAN LLC

Practice address

501 E Campus Ave
Chestertown, MD 21620-1696

Phone

(630) 303-6301

NPI assigned

Jun 1, 2026

Organization subpart

No

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

Authorized official

Name

Adel Ebraheem, OD, MS, FAAONPI 1851961726

Title

Founder & Medical Director

Phone

(630) 303-6301

Specialties & licenses 1

Addresses

Tax ID family

Well Eyecare Physician LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Well Eyecare Physician LLC

  • Optometrist
  • Severna Park, MD
  • NPI 1205768876
  NPD tax ID
• Well Eyecare Physician LLC

  • Optometrist
  • Rockville, MD
  • NPI 1306767298
  NPD tax ID
• Well Eyecare Physician LLC

  • Optometrist
  • Parkville, MD
  • NPI 1780531418
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adel Ebraheem, MS, OD

  • Optometrist
  • Baltimore, MD
  • NPI 1851961726
  NPD (past) Authorized official

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1225960743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SAME VOYAGE WAY UNIT 407",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291375",
            "telephone_number": "630-303-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E CAMPUS AVE",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201696",
            "telephone_number": "630-303-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL EYECARE PHYSICIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "EBRAHEEM",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "FOUNDER & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-303-6301",
        "authorized_official_credential": "OD, MS, FAAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Walston
• Brian H. Walters, PT
• Wayne D Benjamin MD PA
• Katherine E Webb, MD
• Katy Mulligan Weddell, P.T.
• Justin Lankford White, CSC-AD PROVISIONAL
• Altramece Trenee Williams-Staats, LCSW-C
• Richard Gregory Wirtz, PSY.D.
• Kin K Wun, M.D.
• Frederick Nobel Wyman, DDS

• All providers in Chestertown, MD
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.