Individual provider Active NPI

Joshua Schutte, O.D.

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1326209149
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001766 Issued in VA
Practice address
4469 Market Commons Dr
Fairfax, VA 22033-6033
Phone
(571) 218-9228
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001766 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000559 DC Practitioner - Optometry 7810064904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Virginia Professional PLLCGroup PAC ID 1456898782, 12 clinicians

Practice addresses (Care Compare)

4469 Market Commons Dr
Fairfax, VA 22033-6033
Phone (703) 272-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Virginia Professional PLLC Optometrist CurrentSince Aug 9, 2025 Accepting new patients
DRS. Unwalla & Runke, Optometrists P.C. Optometrist PastSince Oct 6, 1992 Accepting new patients

Locations

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

9909 Georgetown Pike
Great Falls, VA 22066
Phone (703) 759-0061

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1326209149",
    "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": {
        "last_name": "SCHUTTE",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.