TEWODROS GEDAMU, O.D. & ASSOCIATES, LLC
NPI 1114101425
Optometrist in Fairfax, VA

Q: What is Tewodros Gedamu, O.D. & Associates, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since December 21, 2007

11784 LEE JACKSON MEMORIAL HIGHWAY, FAIROAKS MALL LOWER LEVEL, FAIRFAX, VA 22033(703) 591-9377(703) 591-9377 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tewodros Gedamu, O.d. & Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEWODROS GEDAMU, O.D. & ASSOCIATES, LLC (NPI 1114101425), doing business as Dr. Tewodros Gedamu & Associates, is a healthcare organization registered as an optometrist in Fairfax, Virginia and active in the NPI registry since December 2007. The organization lists Tewodros Gedamu, Member, as its authorized official.

NPPES Registry Identity

NPI1114101425

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTEWODROS GEDAMU, O.D. & ASSOCIATES, LLC

Location Address11784 LEE JACKSON MEMORIAL HIGHWAY, FAIROAKS MALL LOWER LEVELFairfax, VA 22033

Mailing Address11654 Plaza America Dr Ste 194Reston, VA 20190-4700 · (703) 591-9377

Phone(703) 591-9377

Fax(703) 591-9377

Organization SubpartNo

Authorized OfficialTewodros GedamuMember · (703) 591-9377

Enumeration DateDecember 21, 2007

Last NPPES UpdateMarch 5, 2026

NPPES CertifiedMarch 5, 2026

✔ NPI 1114101425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in VA · 06180001068

Definition

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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

11784 LEE JACKSON MEMORIAL HIGHWAY, Fairfax, VA 22033

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Other Names 1

Doing Business AsDr. Tewodros Gedamu & Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tewodros Gedamu, O.d. & Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tewodros Gedamu, O.D. & Associates, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Tewodros Gedamu, O.D.

Optometry

NPI 1558472878

11784 LEE JACKSON MEMORIAL HIGHWAY FAIROAKS MALL LOWER LEVEL
Fairfax, VA 22033

(703) 591-9377

✔ PECOS✔ Accepts Medicare0.1 mi

Tanya Sharma, OD

Optometry

NPI 1144386608

11784-L LEE JACKSON MEMORIAL HWY FAIR OAKS MALL
Fairfax, VA 22033

(703) 591-9377

✔ PECOS0.1 mi

Man Fei Chan, O.D.

Optometry

NPI 1104094200

11784 L LEE JACKSON HWY
Fairfax, VA 22033

(703) 591-9377

✔ PECOS0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tewodros Gedamu, O.D. & Associates, LLC's NPI number?

The NPI number for Tewodros Gedamu, O.D. & Associates, LLC is 1114101425. It was assigned to this organization in the NPPES registry on December 21, 2007. The provider is doing business as Dr. Tewodros Gedamu & Associates.

Where is Tewodros Gedamu, O.D. & Associates, LLC located?

Tewodros Gedamu, O.D. & Associates, LLC is located at 11784 Lee Jackson Memorial Highway Fairoaks Mall Lower Level, Fairfax, VA 22033. The listed phone number is (703) 591-9377.

What is Tewodros Gedamu, O.D. & Associates, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tewodros Gedamu, O.D. & Associates, LLC enrolled in Medicare?

Yes. Tewodros Gedamu, O.D. & Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tewodros Gedamu, O.D. & Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Tewodros Gedamu, O.D. & Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tewodros Gedamu, O.D. & Associates, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Tewodros Gedamu, O.D. & Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tewodros Gedamu, O.D. & Associates, LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.