Optometry credentialing typically involves dual enrollment with vision plans (VSP, EyeMed, Davis Vision) for routine eye care and medical payers for medical eye conditions. The American Board of Optometry provides board certification, though it is not universally required by payers. State scope of practice laws significantly affect optometry credentialing, as some states allow ODs to prescribe medications, perform certain procedures, or manage glaucoma, while others have more limited scope. Vision plan credentialing often has shorter timelines than medical payer enrollment.
Board Certification
Typical Credentialing Timeline
Planning guidance only—not a guarantee. Requirements, network capacity, contracting, and payer review can affect timing and effective dates.
Credentialing Challenges for Optometry
Frequently Asked Questions
Do optometrists need both medical and vision plan credentialing?
Typically yes. Vision plans cover routine eye exams and glasses/contacts. Medical payers cover medical eye conditions. Most optometry practices need both types of enrollment.
Is board certification required for OD credentialing?
Most payers do not require ABO board certification for optometrists. State licensure is the primary requirement, though board certification can strengthen applications.
How do scope of practice laws affect OD credentialing?
In states with expanded scope, ODs can credential for additional services (therapeutic medications, certain procedures). In limited-scope states, credentialing is restricted to diagnostic and corrective lens services.
Reviewed by Arctic Health Team , Credentialing Specialists
Last reviewed: September 2026
Information on this page reflects our experience as of September 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.