National Provider Identifier Database

TEWODROS GEDAMU, OD – NPI #1558472878
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

TEWODROS GEDAMU, OD
11784 LEE JACKSON MEMORIAL HIGHWAY
FAIROAKS MALL LOWER LEVEL
FAIRFAX, VA22033
Phone: 703-591-9377
Fax: 703-352-8709
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for TEWODROS GEDAMU

NPI Number 1558472878
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/31/2006
Last updated 06/21/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • DC License #: OP1000039
  • MD License #: TA 1661
  • VA License #: 0618001068
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TEWODROS GEDAMU, OD

There are currently no reviews for TEWODROS GEDAMU, OD


NPIdb - Home
v2.201