Join Our Provider Network

Superior Vision network providers are valued members of our vision care team. We have millions of members nationwide and we are growing every day. Joining our network means more patients in your office and greater access to eye and vision care for our members.

Request a Provider Application Packet

If you are interested in joining our network of eye care providers, you can request a provider application packet by filling out the below form or by calling Provider Relations at 800.507.3800, option 7.

* Denotes required field.

Join Our Provider Network

Provider Name *

Practice Name *

Ophthalmologist

Optometrist

Optician/Optical Store

Street Address *

Street Address 2

City *

State *

Zip code *

Provider Phone # *

Provider Fax #

Provider Email

Your Name

Your Phone Number

Comments