Published in Non-Clinical

How to Become a Davis Vision Provider

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2 min read

Here is a brief checklist highlighting how optometrists can join Davis Vision as a provider to begin seeing patients.

How to Become a Davis Vision Provider
Here are some basic guidelines on how to join the Davis Vision network as an optometrist.
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Step 1: Complete the introductory requirements

In order to become a Davis Vision provider, you must:
  1. Get your optometry license (see our guide that gives step-by-step instructions on how to get your optometry license in each state)
  2. Find a place to practice
  3. Get liability insurance
  4. Obtain your NPI number
  5. Begin the medicare enrollment process (see our 41 Step Guide to Become a Medicare Provider w/ Screenshots)
  6. Register with CAQH
See this in-depth guide for additional guidance on satisfying these core requirements. You’ll need to satisfy these requirements to become a provider with nearly every medical or vision plan.
For guidance on applying to additional plans, check out our in-depth Optometrist Credentialing Guide.

Step 2: Start the application process

Step 3: Fill out the form

Submit the form as indicated. You'll be asked to provide information about yourself (e.g., name, NPI number) and your practice. You'll be asked whether your practice is an existing Davis Vision provider.

Step 4: Wait for a response

Davis Vision will contact you requesting additional information including:
  • Application Form
  • Participating Provider Agreement
  • W9 Form
  • Copy of All Current State Registrations
  • Copy of DEA Certificate If Applicable
  • Copy of CSR Certificate If Applicable
  • Copy of CV or Resume
  • Copy of Current Malpractice Insurance
  • Professional Letter of Reference
Complete the information and provide all necessary documentation and forms.

Step 5: Wait up to 180 days

Davis Vision will contact you once you have been successfully credentialed.
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Antonio Chirumbolo, OD
About Antonio Chirumbolo, OD

Antonio Chirumbolo, OD is the Director of Client Services at Eyes On Eyecare. He completed his optometry degree at the SUNY College of Optometry in 2013. Antonio is passionate about digital media, marketing, and advertising and helping colleagues advance their education through impactful content.

Antonio Chirumbolo, OD
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