Organization Active NPI

Olson Optical Inc

Doing business as 302 Collective Eyecare

  • Optometrist
  • Saint James, MN
National Provider Identifier
1871860130
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OLSON OPTICAL INC
Doing business as
302 Collective Eyecare
Practice address
302 1St Ave S
Saint James, MN 56081-1724
Phone
(507) 375-2020
NPI assigned
Nov 30, 2011
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Bridget Sue Forstrom, O.D.NPI 1649470618
Title
Owner/Optometrist
Phone
(507) 375-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Optician 156FX1800X NU

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 (507) 375-2020

Other identifiers 1

IdentifierTypeStateIssuer
956483200MedicaidMN

Other names 1

  • 302 Collective Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120302000449 MN Part B Supplier - Clinic/Group Practice 0749449213 Receives reassigned benefits from 1 practitioner
Practice locations: Saint James, MN
O20120313000060 MN DME Supplier - Optician 0749449213 Practice locations: Saint James, MN

National Provider Directory

National Provider Directory
Tax ID family
Olson Optical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1871860130",
    "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": "507-375-2020"
        },
        {
            "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": {
        "organization_name": "OLSON OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "FORSTROM",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "507-375-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956483200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "302 Collective Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint James, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.