Tewodros Gedamu is a Optometrist in Reston, Virginia. Tewodros Gedamu practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Tewodros Gedamu is 1558472878. The last update date is 2014-06-21.
Tewodros Gedamu's current location address is 11654 Plaza America Dr, Reston, Virginia. You can contact this provider via phone number 7035919377 and fax number 7033528709. The mailing address for Tewodros Gedamu is 11654 Plaza America Dr, Reston, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tewodros Gedamu |
|---|---|
| Address | 11654 Plaza America Dr, Reston, Virginia |
| Phone Number | 7035919377 |
| Fax Number | 7033528709 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1558472878 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2014-06-21 |
Provider Mailing Address Detail
| Address | 11654 Plaza America Dr |
|---|---|
| City | Reston |
| State | Virginia (VA) |
| Post Code | 201904700 |
| Phone Number | 7035919377 |
| Fax Number | 7033528709 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | TA 1661 |
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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 |
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What is the Tewodros Gedamu's 1558472878?
The Tewodros Gedamu's NPI (National Provider Identifier) Number is 1558472878. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tewodros Gedamu is physically located?
The Tewodros Gedamu is physically situated at the following address: 11654 Plaza America Dr, Reston, VA, 201904700.
What is Tewodros Gedamu's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tewodros Gedamu's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558472878 to Tewodros Gedamu?
The Tewodros Gedamu received its 1558472878 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information regarding Tewodros Gedamu, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tewodros Gedamu, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-06-21.
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