Active NPI
Cape Fear Retinal Associates PC
- Ophthalmology Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 9400211
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Retina Specialist (Ophthalmology) Physician
- Wilmington, NC
- NPI 1073870275
NC, Ophthalmology, SC
-
- Ophthalmology Physician
- Wilmington, NC
- NPI 1568425403
NC, Ophthalmology
-
- Ophthalmology Physician
- Wilmington, NC
- NPI 1528422268
NC, Ophthalmology
-
- Retina Specialist (Ophthalmology) Physician
- Wilmington, NC
- NPI 1962039370
Ophthalmology
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2316796 | Cape Fear Retinal Associates, PC | Certificate of waiver | Jan 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
- Cape Fear Psychological & Psychiatric Services
- Cape Fear Public Transportation Authority
- Cape Fear Public Transportation Authority
- Cape Fear Rehabilitation Services, LLC
- Cape Fear Respicare, Inc.
- Cape Fear Sports Medicine PA
- Cape Med Express, LLC
- Cape Medical, Inc.
- Gail Marie Capel, MD
- Alexis Lankford Capell
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.