National Provider Identifier Database

TEWODROS GEDAMU OD ASSOCIATES LLC
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, O.D. & ASSOCIATES, LLC
11784 LEE JACKSON MEMORIAL HIGHWAY
FAIROAKS MALL LOWER LEVEL
FAIRFAX, VA22033
Phone: 703-591-9377
Fax: 703-591-9377
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for TEWODROS GEDAMU, O.D. & ASSOCIATES, LLC

NPI Number 1114101425
Legal business name
LBN
TEWODROS GEDAMU, O.D. & ASSOCIATES, LLC
Authorized official TEWODROS GEDAMU - (MEMBER)
Entity Organization
Organization subpart No
Enumeration date 12/21/2007
Last updated 03/05/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 06180001068

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.

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