Why Should You Join The Avesis Network?

Avesis is adding to our membership of over 3.6 million members at an annual rate of just over 30%. With this consistent growth, adding Avesis to your accepted vision plan will guarantee more foot traffic from members who are encouraged to utilize the services of our highly skilled in-network Providers.

Incentives of the Avesis Program

What are the Advantages of Joining

Getting Started

There is no need to request and wait for an application packet. You can take the steps to join our network panel from this website. For your convenience, the appropriate application and forms are available below for immediate download. In most cases, the PDF forms have fillable fields enabling you to populate data directly into the online form. Once all forms are complete, simply send back to Avesis at the address noted in the box below.

Download a Provider Application (Vision)

Download a Provider Application (Dental)

Download a Provider Application (Hearing)

Completing the Provider Application is the first step to becoming a participant. Some states require specific application data. See if your state is listed in the pull down box to the right. If applicable, complete the state required documents instead of the Avesis Provider Application.

Download a Provider Agreement

The Provider Agreement outlines the contractual arrangement between "the provider" and Avesis.

Credentialing Checklist

If you are ready to submit your application to Avesis, use the credential checklist to verify that you have successfully completed each step.

Medicare Advantage Addendum

This document oulines provisions that apply to all Medicare Advantage Members.

Download a NPI Application

Clicking the link above will redirect you to the NPPES website to begin the NPI number application.

Some states require specific application data.

Application Mailing Instructions

Complete and Mail To:

Avesis Third Party
Administrators, Inc.
10324 S. Dolfield Road
Owings Mills, MD 21117-0782