Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTH STAR VISION GROUP, P.A.
NPI 1043363401
Durable Medical Equipment & Medical Supplies in Blaine, MN

Active since January 19, 2007CLIA 24D2228198 · Waiver
12170 ABERDEEN ST NE, BLAINE, MN 55449(763) 757-7000(763) 757-3328 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About North Star Vision Group, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH STAR VISION GROUP, P.A. (NPI 1043363401), doing business as Blaine Eye Clinic, is a healthcare organization registered as a durable medical equipment & medical supplies in Blaine, Minnesota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 22, 2027, maintains a secondary practice location in Isanti, and lists Breann M Forliti, President, as its authorized official.

NPPES Registry Identity

NPI1043363401
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameNORTH STAR VISION GROUP, P.A.
Location Address12170 ABERDEEN ST NEBlaine, MN 55449-4716
Mailing Address12170 Aberdeen St NeBlaine, MN 55449-4716 · (763) 757-7000 · Fax (763) 757-3328
Fax(763) 757-3328
Organization SubpartNo
Authorized OfficialBreann M ForlitiPresident · (763) 757-7000
Enumeration DateJanuary 19, 2007
Last NPPES UpdateSeptember 16, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1043363401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedOptometristTaxonomy 152W00000X
12170 ABERDEEN ST NE, Blaine, MN 55449

Other Names 2

Doing Business AsBlaine Eye Clinic
Doing Business AsIsanti Eye Clinic

Secondary Practice Location 1

Location 1281 NE 5th AveIsanti, MN 55040 · Phone (763) 757-7000

Other Identifiers 2

OtherDB3402MN · Railroad Medicare
Medicaid221526800MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2228198

Blaine Eye Clinic · Blaine, MN
Active · expires Jun 22, 2027
CLIA Number24D2228198
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorBreann M. Forliti
Laboratory Phone(763) 757-7000
Laboratory LocationBlaine Eye Clinic12170 Aberdeen St NE, Blaine, MN 55449
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Blaine Eye Clinic carries, from the Medicare DMEPOS supplier directory.

Blaine Eye Clinic

DMEPOS supplier · Blaine, MNOperated by Blaine Eye Clinic Optometrists, P.A.
✔

Accepts Medicare assignment

Blaine Eye Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20677937
Medicare Participant SinceOctober 1, 1984
Supplier Location12170 Aberdeen St NEBlaine, MN 55449
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
12170 ABERDEEN ST NE
BLAINE, MN 55449
Optometrist
12170 ABERDEEN ST NE
BLAINE, MN 55449
Audiologist-Hearing Aid Fitter
12170 ABERDEEN ST NE
BLAINE, MN 55449
Optometrist
12170 ABERDEEN ST NE
MINNEAPOLIS, MN 55449
Optometrist
12170 ABERDEEN ST NE
BLAINE, MN 55449
Optometrist
12170 ABERDEEN ST NE
BLAINE, MN 55449
Optometrist
12170 ABERDEEN ST NE
BLAINE, MN 55449
Optometrist
12170 ABERDEEN ST NE
BLAINE, MN 55449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Star Vision Group, P.A.'s NPI number?

The NPI number for North Star Vision Group, P.A. is 1043363401. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Blaine Eye Clinic and Isanti Eye Clinic.

Where is North Star Vision Group, P.A. located?

North Star Vision Group, P.A. is located at 12170 Aberdeen St NE, Blaine, MN 55449. The listed phone number is (763) 757-7000.

What is North Star Vision Group, P.A.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does North Star Vision Group, P.A. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Blaine Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does North Star Vision Group, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2228198) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Star Vision Group, P.A. accept?

Health plans from HealthPartners and Medica list North Star Vision Group, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Star Vision Group, P.A. was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.