Individual provider Active NPI

Sophia Siyun Wong, M.D.

  • Ophthalmology Physician
  • Bethesda, MD
National Provider Identifier
1639468960
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0082359 Issued in MD
Practice address
5272 River Rd Ste 100
Bethesda, MD 20816-1454
Phone
(240) 563-9900
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101270652 VA
Ophthalmology Physician 207W00000X MD046124 DC
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101270652 VA
Retina Specialist (Ophthalmology) Physician 207WX0107X D0082359 MD
Retina Specialist (Ophthalmology) Physician 207WX0107X MD046124 DC
Ophthalmology Physician 207W00000X D0082359 MD Primary

Addresses

Primary practice location

5272 River Rd Ste 100
Bethesda, MD 20816-1454

Mailing address

PO Box 135
Glen Echo, MD 20812-0135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170706000315 DC Practitioner - Ophthalmology 3375856594 Reassigns benefits to 3 organizations
I20201209001687 VA Practitioner - Ophthalmology 3375856594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5272 River Rd
Suite 100
Bethesda, MD 20816-1454
Phone (240) 232-2796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
136568CAMDClinical Social Worker
MD046124DCMDRetina Specialist (Ophthalmology) Physician
D0082359MDMDRetina Specialist (Ophthalmology) Physician
0101270652VAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Retina, P.C. CurrentSince Apr 29, 2025 Accepting new patients
Virginia Retina Specialists Ophthalmology CurrentSince Nov 1, 2020 Accepting new patients
Medical Faculty Associates, Inc Ophthalmology CurrentSince Apr 23, 2018 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology Past Accepting new patients

Locations

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2150 Pennsylvania Ave NW
Ste 2A
Washington, DC 20037
Phone (202) 741-2800

5272 River Rd
Ste 100
Bethesda, MD 20816
Phone (240) 232-2796

8316 Arlington Blvd
Ste 235
Fairfax, VA 22031
Phone (703) 573-8080

6565 Arlington Blvd
Ste 400
Falls Church, VA 22042
Phone (703) 288-9001

6400 Arlington Blvd
Ste 600
Falls Church, VA 22042
Phone (703) 288-9001

1850 Town Center Pkwy
Ste 564
Reston, VA 20190
Phone (703) 435-8400

4565 Daisy Reid Ave
Ste 300
Woodbridge, VA 22192
Phone (571) 529-5022

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1639468960",
    "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": "240-563-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SOPHIA",
        "middle_name": "SIYUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101270652",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD046124",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101270652",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D0082359",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "MD046124",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0082359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.