Individual provider Active NPI

Amjad Minwer Badwan, OD

  • Optometrist
  • Cary, NC
National Provider Identifier
1861681405
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2105 Issued in NC
Practice address
100 Parkway Office CT Ste 112
Cary, NC 27518-7438
Phone
(919) 859-0777
Fax
(919) 415-0443
NPI assigned
Oct 19, 2007
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 2105 NC Primary
Optometrist 152W00000X 0618001687 VA

Addresses

Primary practice location

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

Mailing address

100 Parkway Office CT Ste 112
Cary, NC 27518-7438
Phone (919) 859-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000925 NC Practitioner - Optometry 4385838358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Family Eye Care OD PAGroup PAC ID 1557587300, 2 clinicians

Practice addresses (Care Compare)

155 Pkwy Office CT
Suite 105
Cary, NC 27518-7427
Phone (919) 859-0777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2105NCMDProfessional Counselor
0618001687VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Family Eye Care OD, PA Optometrist CurrentSince May 13, 2014 Accepting new patients
Wake Family Eye Care OD, PA Optometrist Current Accepting new patients
Triangle Eye Institute OD, PA Optometrist Past Accepting new patients

Locations

100 Parkway Office Ct
Ste 112
Cary, NC 27518
Phone (919) 378-2332

155 Parkway Office Ct
Ste 105
Cary, NC 27518
Phone (919) 859-0777

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1861681405",
    "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": {
        "last_name": "BADWAN",
        "first_name": "AMJAD",
        "middle_name": "MINWER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2105",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.