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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 Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

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

NPI Number 1114101425
LBN Legal business name TEWODROS GEDAMU, O.D. & ASSOCIATES, LLC
Authorized official TEWODROS GEDAMU - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2007
Last updated 03/05/2026 - About 3 months ago
Identifiers
VA License # 06180001068
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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