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 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.