Individual provider Active NPI

Adel Ebraheem, MS, OD

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1851961726
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2816 Issued in MD
Practice address
419 W Redwood St Ste 470
Baltimore, MD 21201-7009
Phone
(667) 214-1197
NPI assigned
Jul 1, 2021
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003818 PA
Optometrist 152W00000X TA2816 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 470
Baltimore, MD 21201-7009

Mailing address

6000 Same Voyage Way Unit 407
Clarksville, MD 21029-1375
Phone (630) 303-6301

Other names 1

  • Dr. Adel Ebraheem Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210826000968 MD Practitioner - Optometry 6709281983 Reassigns benefits to 3 organizations
I20230211000321 DC Practitioner - Optometry 6709281983 Reassigns benefits to 3 organizations
I20240521003782 PA Practitioner - Optometry 6709281983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icare Optometry of Pennsylvania PCGroup PAC ID 4082000377, 3 clinicians
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians
Aeg Maryland Professional LLCGroup PAC ID 7618316902, 20 clinicians

Practice addresses (Care Compare)

1205 S 28TH St
Harrisburg, PA 17111-1046
Phone (267) 635-7089

17301 Valley Mall Rd
Hagerstown, MD 21740-6966
Phone (301) 582-1771

18310 Montgomery Village Ave
Suite 140
Gaithersburg, MD 20879-3556
Phone (301) 869-4070

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OEG003818PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jun 24, 2024 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Oct 15, 2021 Accepting new patients
Icare Optometry of Pennsylvania PC Optometrist CurrentSince Apr 12, 2025 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Oct 15, 2021 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Canton Crossing Optometry, LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Visionworks, Inc. Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jun 24, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Montgomery Village Eye Center Inc Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Aeg Maryland Professional LLC Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Well Eyecare Physician LLC Optometrist Past Accepting new patients
Well Eyecare Physician LLC Optometrist Past Accepting new patients
Well Eyecare Physician LLC Optometrist Past Accepting new patients
Well Eyecare Physician LLC Optometrist Past Accepting new patients
Well Eyecare Physician LLC Optometrist Past Accepting new patients
Well Eyecare Physician LLC Optometrist Past Accepting new patients

Locations (25 of 47)

169 Jennifer Rd
Ste D
Annapolis, MD 21401
Phone (410) 224-0021

1905 Towne Centre Blvd
Ste 110
Annapolis, MD 21401
Phone (410) 268-8200

2321 Forest Dr
Ste E
Annapolis, MD 21401
Phone (410) 266-3369

3715 Boston St
Baltimore, MD 21224
Phone (443) 839-0335

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

419 W Redwood St
Ste 470
Baltimore, MD 21201
Phone (667) 214-1197

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

8818 Waltham Woods Rd
Baltimore, MD 21234
Phone (410) 882-2020

5 Bel Air South Pkwy
Ste 1317
Bel Air, MD 21015
Phone (410) 569-8113

623 Bel Air Rd
Bel Air, MD 21014
Phone (410) 879-0044

5701 Greenbelt Rd
Berwyn Heights, MD 20740
Phone (301) 345-2053

5701 Greenbelt Rd
Ste 520
Berwyn Heights, MD 20740
Phone (301) 345-2053

4917 Elm St
Ste A
Bethesda, MD 20814
Phone (301) 718-2424

15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132

4412 Mitchellville Rd
Bowie, MD 20716
Phone (301) 309-0000

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

7305 Baltimore Ave
Ste 202
College Park, MD 20740
Phone (301) 277-2100

6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999

10264 Southern Md Blvd
Ste 101
Dunkirk, MD 20754
Phone (410) 257-6931

1311 Londontown Blvd
Ste 100
Eldersburg, MD 21784
Phone (410) 795-5588

3309 Forestville Pl
Forestville, MD 20747
Phone (301) 420-6610

5500 Buckeystown Pike
Ste 620
Frederick, MD 21703
Phone (301) 663-4745

7810 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (301) 228-2666

18310 Montgomery Village Ave
Ste 140
Gaithersburg, MD 20879
Phone (301) 698-4070

80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122

Interoperability endpoints

  • Direct secure messaging: adel.ebraheem@vip.emadirect.md
  • Direct secure messaging: aebraheem848360@direct.umm.edu

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1851961726",
    "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": "419 W REDWOOD ST STE 470",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017009",
            "telephone_number": "667-214-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHEEM",
        "first_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "MS, OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003818",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEL",
            "last_name": "EBRAHEEM",
            "prefix": "DR.",
            "credential": "MS, OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.