MRS. BREANN MARIE FORLITI O.D.
NPI 1265694715
Optometrist in Blaine, MN

Q: What is Breann Forliti's NPI number?

The NPI number for Breann Forliti is 1265694715. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Q: What is Breann Forliti's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Breann Forliti was last updated on September 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment

12170 ABERDEEN ST NE, BLAINE, MN 55449(763) 757-7000(763) 757-3328 Get Directions Write a Review

NPPES record last updated: September 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Breann Marie Forliti O.d. NPPES

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

MRS. BREANN MARIE FORLITI O.D. (NPI 1265694715) is an individual optometrist in Blaine, Minnesota, licensed in Minnesota (3121) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2008).

NPPES Registry Identity

NPI1265694715

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMRS. BREANN MARIE FORLITICredential: O.D.

Location Address12170 ABERDEEN ST NEBlaine, MN 55449-4716

Mailing Address3125 Kenwood St SCambridge, MN 55008-2640 · (763) 689-4397

Phone(763) 757-7000

Fax(763) 757-3328

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 2008

Enumeration DateJune 26, 2008

Last NPPES UpdateSeptember 27, 2010

✔ NPI 1265694715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MN · 3121

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

12170 ABERDEEN ST NE, Blaine, MN 55449

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Other Identifiers 3

Medicare NSC1265694715MN

Medicaid1265694715MN

Medicare PIN1265694715MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Breann Marie Forliti O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022186485

PECOS Enrollment IDI20081013000138

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

47 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services17 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

16 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

LYNN ALAN SULERUD O.D.

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

MEGAN MARIE SIS OD, MS, FAAO

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

NORTHLAND HEARING CENTER INC

Audiologist-Hearing Aid Fitter

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 795-6047

BLAINE EYE CLINIC OPTOMETRISTS, P.A.

Durable Medical Equipment & Medical Supplies

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

GEORGIANN KAE JENSEN O.D.

Optometrist

12170 ABERDEEN ST NE
MINNEAPOLIS, MN 55449

Anoka County (763) 757-7000

LANDON MICHAEL KUDRNA O.D.

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (637) 577-0007

DR. ASHLEY ANN BERENS OD

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

DR. ROSAMOND HANNAH TEDESCO O.D.

Optometrist

12170 ABERDEEN ST NE
BLAINE, MN 55449

Anoka County (763) 757-7000

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 Breann Forliti's NPI number?

The NPI number for Breann Forliti is 1265694715. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Breann Forliti located?

Breann Forliti practices at 12170 Aberdeen St NE, Blaine, MN 55449. The listed phone number is (763) 757-7000.

What is Breann Forliti's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Breann Forliti enrolled in Medicare?

Yes. Breann Forliti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Breann Forliti accept?

Health plans from HealthPartners and Medica list Breann Forliti 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 Breann Forliti was last updated on September 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.