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General NPI Number Information
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NPI Number | 1548179278
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Entity Type | Organization
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Legal Business Name | WELL EYECARE PHYSICIAN LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 800 BESTGATE RD
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3016
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Country | US
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Telephone | 410-216-7968
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Fax | 410-697-5947
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Provider Business Mailing Address
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Address Line | 6000 SAME VOYAGE WAY UNIT 407
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1375
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Country | US
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Telephone | 410-216-7968
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Fax | 410-697-5947
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Authorized Official
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Title or Position | FOUNDER/MEDICAL DIRECTOR
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Name | DR. ADEL EBRAHEEM
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Credential | OD, MS, MSC, FAAO
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Telephone | 630-303-6301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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