Active NPI
Bieber & Schutte OD LLC
- Optometrist
- Fairfax, VA
National Provider Identifier
1194068007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0603000537
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.