Tewodros Gedamu, O.D. & Associates, LLC
NPI 1114101425 · Optometrist · Fairfax, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tewodros Gedamu, O.D. & Associates, LLC is a Optometrist organization in Fairfax, VA (NPI 1114101425).
Provider details
- NPI number
- 1114101425
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tewodros Gedamu, Member(703) 591-9377
- License
- 06180001068 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dr. Tewodros Gedamu & Associates
Registry dates
- Enumerated
- 2007-12-21
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Frequently asked questions
- What is Tewodros Gedamu, O.D. & Associates, LLC's NPI number?
- Tewodros Gedamu, O.D. & Associates, LLC's National Provider Identifier (NPI) is 1114101425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tewodros Gedamu, O.D. & Associates, LLC?
- Tewodros Gedamu, O.D. & Associates, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Tewodros Gedamu, O.D. & Associates, LLC located?
- Tewodros Gedamu, O.D. & Associates, LLC's practice location on file with NPPES is 11784 Lee Jackson Memorial Highway, Fairfax, VA 22033.
- What is Tewodros Gedamu, O.D. & Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tewodros Gedamu, O.D. & Associates, LLC is (703) 591-9377.
- Does Tewodros Gedamu, O.D. & Associates, LLC accept Medicare?
- Tewodros Gedamu, O.D. & Associates, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tewodros Gedamu, O.D. & Associates, LLC?
- The authorized official listed on Tewodros Gedamu, O.D. & Associates, LLC's NPPES record is Tewodros Gedamu, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tewodros Gedamu, O.D. & Associates, LLC's NPI active?
- Yes — Tewodros Gedamu, O.D. & Associates, LLC's NPI (1114101425) is active in the NPPES registry as of the last update on 2026-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.