Active NPI
Kimberly Kay Breckon, O.D.
- Optometrist
- Falcon, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2431
- Practice address
- 7642 McLaughlin Rd
Falcon, CO 80831 - Phone
- (719) 495-6611
- NPI assigned
- Oct 10, 2006
- Last updated
- Apr 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2431 | CO | Primary |
Addresses
Primary practice location
7642 McLaughlin Rd
Falcon, CO 80831
Mailing address
8101 Gilpin Peak Dr
Colorado Springs, CO 80924-4493
Phone (719) 640-3922
Other practice location 1
6901 North Academy Blvd.
Colorado Springs, CO 80918
Phone (719) 520-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2431 | CO | MD | Optometrist |
| 14481 | CA | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbaugh and Reuter PC | Optometrist | Current | Accepting new patients |
| Arbaugh and Reuter PC | Optometrist | Current | Accepting new patients |
Locations
6091 N Academy Blvd
Colorado Springs, CO 80918
Phone (719) 520-3333
7642 McLaughlin Rd
Peyton, CO 80831
Phone (719) 495-6611
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1558459305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 GILPIN PEAK DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809244493",
"telephone_number": "719-640-3922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7642 MCLAUGHLIN RD",
"city": "FALCON",
"state": "CO",
"postal_code": "80831",
"telephone_number": "719-495-6611"
}
],
"practiceLocations": [
{
"address_1": "6901 North Academy Blvd.",
"address_purpose": "LOCATION",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80918",
"country_code": "US",
"telephone_number": "719-520-3333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRECKON",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falcon, CO
- Always Love Homecare & Adventure
- Arbaugh and Reuter PC (Alpine Vision)
- Levi Arnhold, D.C.
- Colby Brad Beck, DDS
- Carrie D Bentley, LPTA
- Austin Burgett, DC
- Isaac Butler, DPT
- Carubia Pediatric Dentistry & Orthodontics PLLC
- Colorado Dental Orthodontist Practice, PLLC (Woodmen Orthodontics)
- Colorado Dental Specialist Practice, LLC (All Smiles Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.