Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tewodros Gedamu, OD

Individual provider Optometrist · NPI 1558472878

Dr. Tewodros Gedamu, OD is registered under Optometry in Fairfax, Virginia. Graduated from Pennsylvania College of Optometry in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in District of Columbia, Maryland and Virginia.

Years since qualifying
26
Trained at
Pennsylvania College of Optometry
Licensed in
DC, MD, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

11784 Lee Jackson Memorial Highway Fairoaks Mall Lowr Level
Fairfax, VA 22033 Not confirmed with CMS for 12 years — call before visiting
Phone: (703) 591-9377
Fax: (703) 352-8709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618001068 (VA)
Optometrist Taxonomy 152W00000X · Licence TA 1661 (MD)
Optometrist Taxonomy 152W00000X · Licence OP1000039 (DC)

Record details

NPI number1558472878
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJune 21, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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