NPIMap

Organization Active NPI

Well Eyecare Physician LLC

  • Optometrist
  • Frederick, MD
National Provider Identifier
1477462109
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WELL EYECARE PHYSICIAN LLC
Practice address
1820 Latham Dr
Frederick, MD 21701-9393
Phone
(410) 216-7968
Fax
(410) 697-5947
NPI assigned
Sep 7, 2026
Last updated
Sep 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Dr. Adel Ebraheem, OD, MS, MSC, FAAONPI 1851961726
Title
Founder/ Medical Director
Phone
(630) 303-6301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1820 Latham Dr
Frederick, MD 21701-9393

Mailing address

6000 Same Voyage Way Unit 407
Clarksville, MD 21029-1375
Phone (410) 216-7968

National Provider Directory

National Provider Directory
Tax ID family
Well Eyecare Physician LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1477462109",
    "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": "410-216-7968",
            "fax_number": "410-697-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 LATHAM DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019393",
            "telephone_number": "410-216-7968",
            "fax_number": "410-697-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL EYECARE PHYSICIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "OD, MS, MSC, FAAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.