Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendall Whitfield Wannamaker Jr., MD

Individual provider Ophthalmology Physician · NPI 1962882886

Kendall Whitfield Wannamaker Jr., MD is an Ophthalmology in Southern Pines, North Carolina. Qualified in 2021, 5 years ago. Practices with Carolina Eye Associates Inc, a 38-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky, North Carolina, Ohio and South Carolina.

Years since qualifying
5
Licensed in
KY, NC, OH, SC
In the registry since
2015
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2170 Midland Rd
Southern Pines, NC 28387-2927
Phone: (910) 295-2100
Fax: (910) 295-3625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1991 Fordham Dr Ste 301, Fayetteville, NC 28304-3774 — (910) 485-2020
  • 2905 N Elm St, Lumberton, NC 28358-2982 — (310) 370-0100

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 2021-01183 (NC)
Ophthalmology Physician Taxonomy 207W00000X · Licence TP302 (KY)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL38304 (SC)
Ophthalmology Physician Taxonomy 207W00000X · Licence 35136292 (OH)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 2021-01183 (NC)

Record details

NPI number1962882886
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Carolina Eye Associates Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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