Beacon Retina, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BEACON RETINA, P.C.

Practice address

5272 River Rd Ste 100
Bethesda, MD 20816-1454

Phone

(240) 232-2796

NPI assigned

Feb 6, 2025

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sophia Wong, MDNPI 1639468960

Title

President

Phone

(240) 232-2796

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sophia Siyun Wong, M.D.

  • Ophthalmology Physician
  • Bethesda, MD
  • NPI 1639468960

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1225842578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "GLEN ECHO",
            "state": "MD",
            "postal_code": "208120135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 RIVER RD STE 100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161454",
            "telephone_number": "240-232-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON RETINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-232-2796",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bayer, M.D.
• Louise Bayly, LCSW
• BCC Audiology LLC
• Bdic LLC (Bethesda Dental Implant Center)
• Brucinda Louise Beach, LCSW
• Charles William Beadling, M.D.
• Douglas Beakes, MD
• Beth L. Beal, DO
• Peter Alexander Beale, M.D.
• Steven Christopher Beall

• Medical Specialty Clinic/Center in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.