Kids X-Small [Ages 5-7]
Kids Small [Ages 6-9]
Kids Medium [Ages 9-14]
Kids Large [Ages 12-17]
Kids X-Large [Ages 14-18]
Adult Narrow
Adult Average
Adult Wide

Davis Vision

Follow these easy steps to submit an out-of-network claim for reimbursement through Davis Vision. Every plan is a little different, so be sure to contact Davis Vision directly for details on your out-of-network benefits and eligibility.

1. Start your claim.
Download and complete this form.

2. Submit your claim.
Mail your completed form to:

Vision Care Processing Unit
P.O. Box 1525
Latham, NY 12110

3. Questions about your claim?
For help submitting your claim, or to check the status of your reimbursement, log in to your Davis Vision account or call customer service at (800) 999-5431.