Refer a Doctor of Optometry

We are always looking for optometrists passionate about primary eye care to practice at offices at our locations, and you can help. If you know a Doctor of Optometry who would be a good addition to our network, and they meet the qualifications for an existing open requisition, it may be worth up to $6,000!

Candidates who meet the qualifications can be referred to us via the online form below or the paper form available to download. Email any paper forms or questions to [email protected].

About You

Required fields are marked with an asterisk (*).

Referring Person’s Name *

Are you employed by or affiliated with National Vision * Yes No

Cell Phone * Email Address *

About the Candidate

Required fields are marked with an asterisk (*).

Candidate’s Name * Candidate’s Cell Phone * Candidate’s Personal Email Address * (.edu not accepted) Name of Current Practice or School and Grad Year Area/City of Interest Relationship to Referring Individual *

Please select the retail brand the candidate is interested in practicing in affiliation with. Check all that apply (optional). America’s Best Contact & Eyeglasses Eyeglass World Vista Optical Military Vista Optical Fred Meyer

By submitting this form, I agree to and understand the Doctor of Optometry Candidate Referral Program Rules and have obtained permission from the candidate to share their information.