Tewodros Gedamu, O.D. & Associates, LLC
Optometrist in Fairfax, VA. Organization (NPI-2).
NPI number1114101425
StatusActive
Last updated in NPPESMar 5, 2026
Details
- NPI
- 1114101425
- Entity type
- Organization (NPI-2)
- Legal business name
- Tewodros Gedamu, O.D. & Associates, LLC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2007
- Certification date
- Mar 5, 2026
- Last updated
- Mar 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 06180001068 | VA | Yes |
Other names
- Dr. Tewodros Gedamu & Associates (Doing Business As)
Practice location
11784 Lee Jackson Memorial HighwayFairoaks Mall Lower Level
Fairfax, VA 22033
Phone 703-591-9377 · Fax 703-591-9377
Mailing address
11654 Plaza America Dr Ste 194Reston, VA 20190-4700
Phone 703-591-9377
Authorized official
Tewodros Gedamu
Member
7035919377
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