=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144188699
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KARIN BRUECKNER, OD, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2026
-----------------------------------------------------
Last Update Date | 01/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7900 W QUINCY AVE
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80123-1318
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-948-1400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2420 W JAMISON WAY
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80120-3943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-261-5361
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KARIN BRUECKNER
-----------------------------------------------------
Credential | OD
-----------------------------------------------------
Telephone | 720-261-5361
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------