Individual provider Active NPI

Karin Brueckner, O.D.

  • Optometrist
  • Littleton, CO
National Provider Identifier
1629145024
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1736 Issued in CO
Practice address
7900 W Quincy Ave
Optometry Office Inside Costco Optical
Littleton, CO 80123-1350
Phone
(303) 948-1400
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1736 CO Primary

Addresses

Primary practice location

7900 W Quincy Ave
Optometry Office Inside Costco Optical
Littleton, CO 80123-1350

Mailing address

7900 W Quincy Ave
Optometry Office Inside Costco Optical
Littleton, CO 80123-1350
Phone (303) 948-1400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309003144 CO Practitioner - Optometry 4183107154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2420 W Jamison Way
Littleton, CO 80120-3943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1736COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karin Brueckner, OD, PC Optometrist CurrentSince Dec 19, 2025 Accepting new patients

Locations

7900 W Quincy Ave
Ofc Inside
Littleton, CO 80123
Phone (303) 948-1400

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1629145024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 W QUINCY AVE",
            "address_2": "OPTOMETRY OFFICE INSIDE COSTCO OPTICAL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231350",
            "telephone_number": "303-948-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 W QUINCY AVE",
            "address_2": "OPTOMETRY OFFICE INSIDE COSTCO OPTICAL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231350",
            "telephone_number": "303-948-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUECKNER",
        "first_name": "KARIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.