# BEACON RETINA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225842578
- **Authorized official:** SOPHIA WONG MD (PRESIDENT)
- **Authorized official phone:** (240) 232-2796

## Contact information

- **Practice address:** 5272 RIVER RD STE 100, BETHESDA, MD 20816-1454
- **Practice address phone:** (240) 232-2796
- **Mailing address:** PO BOX 135, GLEN ECHO, MD 20812-0135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/06/2025