Active NPI
Jaden Daisuke Hansen, OD
- Optometrist
- Cary, NC
National Provider Identifier
1720968431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618003563
- Practice address
- 100 Parkway Office CT Ste 112
Cary, NC 27518-7438 - Phone
- (919) 859-0777
- NPI assigned
- Sep 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618003563 | VA | Primary |
Addresses
Primary practice location
100 Parkway Office CT Ste 112
Cary, NC 27518-7438
Mailing address
212 Loft LN Apt 114
Raleigh, NC 27609-3889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618003563 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Family Eye Care OD, PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Cary, NC
- NPI 1588080436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1720968431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 LOFT LN APT 114",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093889"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "JADEN",
"middle_name": "DAISUKE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618003563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.