Organization Active NPI

Bieber & Schutte OD LLC

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1194068007
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0603000537 Issued in VA
Legal business name
BIEBER & SCHUTTE OD LLC
Doing business as
Modern Optometry
Practice address
4469 Market Commons Dr
Fairfax, VA 22033-6033
Phone
(571) 218-9228
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joshua D Schutte, O.D.NPI 1326209149
Title
Owner
Phone
(571) 218-9228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0603000537 VA Primary

Addresses

Primary practice location

4469 Market Commons Dr
Fairfax, VA 22033-6033

Mailing address

4469 Market Commons Dr
Fairfax, VA 22033-6033
Phone (571) 218-9228

Other names 1

  • Modern Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141216001599 DC Part B Supplier - Clinic/Group Practice 6709109143 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

4469 Market Commons Dr
Fairfax, VA 22033
Phone (571) 218-9228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1194068007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 MARKET COMMONS DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220336033",
            "telephone_number": "571-218-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 MARKET COMMONS DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220336033",
            "telephone_number": "571-218-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIEBER & SCHUTTE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "SCHUTTE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-218-9228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.