Provider Enrollment > Optometrist (OPT)

Provider Enrollment




Option 1

Billing Medicaid (Self Employed or Salaried)

If you Do/Will Provide Medical Services and Bill Medicaid Click here for the Enrollment Form and Instructions.


Please Note: If you only will Order/Prescribe/Refer/Attend see Option 2 Below
Option 2

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.


If you Do/Will Provide Medical Services and Bill Medicaid, see Option 1 above
Option 3

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.