Healthcare Provider Details
I. General information
NPI: 1073430757
Provider Name (Legal Business Name): THE RETINA GROUP OF WASHINGTON, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
129 LUBRANO DR STE 101
ANNAPOLIS MD
21401-7566
US
IV. Provider business mailing address
420 MOUNTAIN AVE FL 4
NEW PROVIDENCE NJ
07974-2736
US
V. Phone/Fax
- Phone: 301-860-1090
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
M
BERINSTEIN
Title or Position: OWNER
Credential:
Phone: 908-458-8333