Providers Portal

Join the OptiCare Network

Interested in learning more about joining the OptiCare Network? Please complete the form below and a Network Management Representative will contact you within one (1) business day with information on the products we administer in your area.

 

Provider's Title:

*

Provider's Name:

 *

Practice Name:

 *

Contact Name, if different from Provider:

Comments:

How would you like us to Contact you in reponse to your request?

Please provide email or Phone below:

 

* Required Fields

Submission of credentialing materials does not guarantee the processing or approval of your participation with OptiCare Managed Vision / AECC-Total Vision Health Plan of Texas, Inc. All submitted materials will be reviewed and responded to accordingly.

For your protection, our privacy policy prevents us from responding to emails containing protected health information (specific information about you and your healthcare) because we cannot guarantee the security of these e-mails before they reach us. Please contact your customer service representative should you have questions or concerns regarding your eye care services.