Organization Active NPI

Cape Fear Retinal Associates PC

  • Ophthalmology Physician
  • Wilmington, NC
National Provider Identifier
1205944477
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9400211 Issued in NC
Legal business name
CAPE FEAR RETINAL ASSOCIATES PC
Practice address
3562 Ansley Dr
Wilmington, NC 28412-1219
Phone
(910) 332-3560
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Jessica Schroeder
Title
Practice Administrator
Phone
(910) 332-3560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 9400211 NC Primary

Addresses

Primary practice location

3562 Ansley Dr
Wilmington, NC 28412-1219

Mailing address

3562 Ansley Dr
Wilmington, NC 28412-1219
Phone (910) 332-3560

Other practice location 1

402 N Main St
Kenansville, NC 28349-8801
Phone (910) 332-3560

Other practice location 2

2183 James B White Hwy N
Whiteville, NC 28472-8989
Phone (910) 332-3560

Other practice location 3

10 Doctors Cir Ste 1
Supply, NC 28462-4218
Phone (910) 332-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070125000603 NC Part B Supplier - Clinic/Group Practice 0749281236 Receives reassigned benefits from 5 practitioners
Practice locations: Kenansville, NC; Wilmington, NC; Whiteville, NC; Supply, NC
O20190314000646 SC Part B Supplier - Clinic/Group Practice 0749281236 Receives reassigned benefits from 2 practitioners
Practice locations: Loris, SC

National Provider Directory

National Provider Directory

Locations

402 N Main St
Kenansville, NC 28349
Phone (910) 296-1781

10 Doctors Cir
Ste 1
Supply, NC 28462

13520 NC Highway 50
Ste 103
Surf City, NC 28445

34 McNeill Plz
#A
Whiteville, NC 28472
Phone (910) 641-0011

1104 Medical Center Dr
Wilmington, NC 28401
Phone 9103323560116

3562 Ansley Dr
Wilmington, NC 28412

1915 S 17th St
Ste 101
Wilmington, NC 28401
Phone (910) 251-8200

1098 Medical Center Dr
Wilmington, NC 28401

3819 Main St
Loris, SC 29569
Phone (843) 756-1262

Practitioners 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2316796Cape Fear Retinal Associates, PC3562 Ansley Dr, Wilmington, NC 28412Certificate of waiverJan 12, 2027

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1205944477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 ANSLEY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121219",
            "telephone_number": "910-332-3560",
            "fax_number": "910-332-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 ANSLEY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121219",
            "telephone_number": "910-332-3560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N Main St",
            "address_purpose": "LOCATION",
            "city": "Kenansville",
            "state": "NC",
            "postal_code": "283498801",
            "country_code": "US",
            "telephone_number": "910-332-3560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2183 James B White Hwy N",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284728989",
            "country_code": "US",
            "telephone_number": "910-332-3560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Doctors Cir Ste 1",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624218",
            "country_code": "US",
            "telephone_number": "910-332-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPE FEAR RETINAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-332-3560"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9400211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.