Provider Enrollment > Optician/Opthalmic Dispenser (OPD)
Billing Medicaid (Self Employed or Salaried)
If you Do/Will Provide Medical Services and Bill Medicaid Click here for the Enrollment Form and Instructions.
Order/Prescribe/Refer/Attend ONLY
If employed by a Physician or Group Practice and you will NOT be Billing Medicaid, click here for the Enrollment Form and Instructions.
Change From OPRA To Billing Provider
If you are already enrolled as an Order/Prescribe/Refer/Attend (OPRA) Provider and wish to provide Medicaid Services and Bill Medicaid, Click here for the Enrollment Form and Instructions.