Join Us!

BECOME A DAVIS VISION DOCTOR

With over 50 years’ experience in the vision industry and 21 million members, Davis Vision’s client base and membership continues to grow, driving volume and increasing exposure to the providers in our network.  More than 98% of Davis Vision members use in-network providers for their eye care needs.

Complete the form below to begin the process. A member of our team will be in contact with you.

Davis Vision Provider Participant Form

Fill out this form requesting to become a Davis Vision Provider

Reason for Submission

                    

Services Offered

                    

Profession

Practitioner's Name (Last, First)
 

Email
 

Phone Number

Primary Office Location

DBA Name

Street Address

City

State

Zip Code


Is this a current Davis Vision location?

        

(if "Yes", type Davis Vision provider number)

 

Adding Multiple Offices?

        

 
Retail Affiliation

                            

(if "Yes", type affiliate name)

 
Do you currently maintain your credentialing documents through CAQH?

                    

(if "Yes", type CAQH number)

NPI Number

 
Additional Information

If you are already a Davis Vision provider and need to make changes to your existing account, please contact our Provider Relations Representatives at 1.800.933.9371 for assistance.