North Star Vision Group, P.a.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTH STAR VISION GROUP, P.A.

Doing business as

Blaine Eye Clinic
Isanti Eye Clinic

Practice address

12170 Aberdeen St NE
Blaine, MN 55449-4716

Phone

(763) 757-7000

Fax

(763) 757-3328

NPI assigned

Jan 19, 2007

Last updated

Sep 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Breann M Forliti, O.D.NPI 1265694715

Title

President

Phone

(763) 757-7000

Specialties & licenses 2

Addresses

Other names 2

• Blaine Eye Clinic Doing business as
• Isanti Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Breann Marie Forliti, O.D.

  • Optometrist
  • Blaine, MN
  • NPI 1265694715
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Ann Berens, OD

  • Optometrist
  • Blaine, MN
  • NPI 1417462698
  Medicare reassignment Care Compare group NPD
• Landon Michael Kudrna, O.D.

  • Optometrist
  • Blaine, MN
  • NPI 1285206318
  Medicare reassignment Care Compare group NPD
• Megan Marie Sis, OD, MS, FAAO

  • Optometrist
  • Blaine, MN
  • NPI 1013242197
  Medicare reassignment Care Compare group NPD
• Rosamond Hannah Tedesco, O.D.

  • Optometrist
  • Blaine, MN
  • NPI 1548469737
  Medicare reassignment Care Compare group NPD
• Emmalee Toldo, OD

  • Optometrist
  • Minneapolis, MN
  • NPI 1770069494
  Medicare reassignment Care Compare group NPD
• Casey William Bateman, O.D.

  • Optometrist
  • Stillwater, MN
  • NPI 1720439466
  Medicare reassignment NPD
• Georgiann Kae Jensen, O.D.

  • Optometrist
  • Minneapolis, MN
  • NPI 1134272586
  Medicare reassignment NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1043363401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12170 ABERDEEN ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494716",
            "telephone_number": "763-757-7000",
            "fax_number": "763-757-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12170 ABERDEEN ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494716",
            "telephone_number": "763-757-7000",
            "fax_number": "763-757-3328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 NE 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Isanti",
            "state": "MN",
            "postal_code": "55040",
            "country_code": "US",
            "telephone_number": "763-757-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH STAR VISION GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "FORLITI",
        "authorized_official_first_name": "BREANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-757-7000",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaine Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blaine Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Isanti Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northland Dental Partners, PLLC (Metro Dentalcare Blaine Pheasant Ridge)
• Northland Dental Partners, PLLC (Metro Dentalcare Blaine 10)
• Northland Dental Partners, PLLC (Central Avenue Dental Care)
• Northland Endodontics PA

• Durable Medical Equipment & Medical Supplies in Blaine, MN
• Providers in Blaine, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.