Tewodros Gedamu, O.D. & Associates, LLC
NPI 1114101425ActiveOrganization· Optometrist· Fairfax, VA
Optometrist in Fairfax, Virginia, registered in NPPES in December 2007. The authorized official on file is Tewodros Gedamu, O.D., Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114101425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2007 |
| Last updated in NPPES | Mar 5, 2026 |
| Certified by provider | Mar 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 06180001068 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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