NPI 1114101425

Tewodros Gedamu, O.D. & Associates, LLC

Organisation Optometrist Fairfax, VA

Practice location

Address: 11784 Lee Jackson Memorial Highway Fairoaks Mall Lower Level, Fairfax, VA 22033
Phone: (703) 591-9377
Fax: (703) 591-9377
Mailing address: 11654 Plaza America Dr STE 194, Reston, VA 20190-4700

Authorised official

Name: Tewodros Gedamu
Title: Member
Phone: (703) 591-9377

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 06180001068 (VA)

Other Optometrist providers in Virginia →

Registry record

NPI: 1114101425
Entity type: Organization
NPI issued: 21 Dec 2007
Record last updated: 5 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.