Individual provider Active NPI

Bridget Sue Forstrom, O.D.

  • Optometrist
  • Saint James, MN
National Provider Identifier
1649470618
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3087 Issued in MN
Practice address
302 1St Ave S
Saint James, MN 56081-1724
Phone
(507) 375-2020
NPI assigned
Jul 19, 2007
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3087 MN Primary

Addresses

Primary practice location

302 1St Ave S
Saint James, MN 56081-1724

Mailing address

302 1St Ave S
Saint James, MN 56081-1724
Phone (312) 909-0018

Other names 1

  • Dr. Bridget Sue Boyle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20080104000138 MN Practitioner - Optometry 2769562636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

302 1St Ave S
Saint James, MN 56081-1724
Phone (507) 375-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3087MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Tillisch Eye Clinic, LTD Optometrist CurrentSince Apr 3, 2024 Accepting new patients
Carlson Tillisch Eye Clinic, LTD Optometrist CurrentSince Apr 3, 2024 Accepting new patients
Olson Optical Inc Optometrist CurrentSince Jan 1, 2017 Accepting new patients

Locations

120 N Broad St
Mankato, MN 56001
Phone (507) 345-5087

220 E Main St
Mankato, MN 56001
Phone (507) 345-5087

26 N Broadway St
New Ulm, MN 56073
Phone (507) 354-7407

302 1st Ave S
Saint James, MN 56081
Phone (507) 375-2020

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, 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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1649470618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 1ST AVE S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811724",
            "telephone_number": "312-909-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 1ST AVE S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811724",
            "telephone_number": "507-375-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTROM",
        "first_name": "BRIDGET",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "BOYLE",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint James, MN

Sources for this page

Verify at the official NPI Registry.