Dr Tewodros Gedamu, OD | |
11784 Lee Jackson Memorial Highway, Fairoaks Mall Lower Level, Fairfax, VA 22033 | |
(703) 591-9377 | |
(703) 352-8709 |
Full Name | Dr Tewodros Gedamu |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 24 Years |
Location | 11784 Lee Jackson Memorial Highway, Fairfax, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558472878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TA 1661 (Maryland) | Secondary |
152W00000X | Optometrist | 0618001068 (Virginia) | Primary |
152W00000X | Optometrist | OP1000039 (District Of Columbia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tewodros Gedamu, O.d. And Associates, Llc | 1355352089 | 2 |
Provider Name | Tewodros Gedamu, O.d. & Associates, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114101425 PECOS PAC ID: 1355352089 Enrollment ID: O20060509001057 |
Mailing Address | Practice Location Address |
---|---|
Dr Tewodros Gedamu, OD 11654 Plaza America Dr, Suite 194, Reston, VA 20190-4700 Ph: (703) 591-9377 | Dr Tewodros Gedamu, OD 11784 Lee Jackson Memorial Highway, Fairoaks Mall Lower Level, Fairfax, VA 22033 Ph: (703) 591-9377 |
Dean A. Wright O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9665 Main St, Fairfax, VA 22031 Phone: 703-978-2020 Fax: 703-978-6454 | |
Myeyedr Optometrist Medicare: Medicare Enrolled Practice Location: 2910 District Ave, Suite 160, Fairfax, VA 22031 Phone: 703-369-9866 Fax: 703-269-9865 | |
Dr. Wa-lee L Courtney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12255 Fair Lakes Parkway, Fairfax, VA 22033 Phone: 703-934-5905 Fax: 703-934-5778 | |
Maya Murray, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10690 Fairfax Blvd, Fairfax, VA 22030 Phone: 703-273-6323 | |
Manmeet Chatha, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3903 Fair Ridge Dr Unit E, Fairfax, VA 22033 Phone: 703-961-9119 Fax: 312-277-3735 | |
Dr. David L Meinert, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12255 Fair Lakes Parkway, Fairfax, VA 22033 Phone: 703-934-5905 Fax: 703-934-5778 | |
Jonathan Kim, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11903-i Lee Jackson Memorial Hwy. #g133, Fairfax, VA 22033 Phone: 703-218-8036 Fax: 703-218-9841 |