Wake Family Eye Care OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2072 Issued in NC

Legal business name

WAKE FAMILY EYE CARE OD, PA

Practice address

100 Parkway Office CT Ste 112
Cary, NC 27518-7438

Phone

(919) 859-0777

Fax

(919) 415-0443

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Amjad Minwer Badwan, ODNPI 1861681405

Title

President/Medical Director

Phone

(919) 859-0777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Cary Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wake Family Eye Care OD, PA

  • Optometrist
  • Cary, NC
  • NPI 1760842777
  NPD tax ID

Locations

Practitioners 5

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

• Amjad Minwer Badwan, OD

  • Optometrist
  • Cary, NC
  • NPI 1861681405
  Medicare reassignment Care Compare group NPD Authorized official
• Keller Hopkins

  • Optometrist
  • Cary, NC
  • NPI 1275013765
  Medicare reassignment Care Compare group NPD
• Jennifer M Shenk, O.D.

  • Optometrist
  • Kinston, NC
  • NPI 1235326943
  Medicare reassignment NPD
• Elizabeth Kilner Wickware, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1992017693

  NC

  Medicare reassignment NPD
• Jaden Daisuke Hansen, OD

  • Optometrist
  • Cary, NC
  • NPI 1720968431
  NPD (past)

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1588080436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARKWAY OFFICE CT STE 112",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187438",
            "telephone_number": "919-859-0777",
            "fax_number": "919-415-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARKWAY OFFICE CT STE 112",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187438",
            "telephone_number": "919-859-0777",
            "fax_number": "919-415-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FAMILY EYE CARE OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "BADWAN",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "MINWER",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-859-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wake Ear Nose and Throat Specialists PLLC
• Wake Emergency Physicians PA
• Wake Emergency Physicians PA
• Wake Endoscopy Center - Cary, LLC
• Wake Endoscopy Center, LLC
• Wake Family Eye Care OD, PA
• Wake Family Medicine PC
• Wake Heart and Vascular Associates P.a.
• Wake Neurology PLLC
• Wake Neuropathy P.a.

• Optometrist in Cary, NC
• Providers in Cary, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.