HMI Buying group - Optometry's Leading Buying Group For Over 20 YearsBUY SMARTDeep Discounts, Superior Service, 100
 Billing Accuracy, Over 250 Top Suppliers

Why HMI?
Frequently Asked Questions
Supplier Directory & Links
How To Join

Order With HMI Online
Order With HMI/VisionWeb
Process Claims Online
Pay Online With iDrafts
Payroll Services

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Have a Question? Call 800.932.3535
Membership is FREE - and there are No 'hidden' Administration Fees! Click Here to Join.

    © 2018 Healthy Eyes Advantage | HMI   
New Member Application

It’s easy to apply for HMI Buying Group membership! Just complete the
short application below, click ‘Next’ to select the suppliers you wish to
set up to bill through HMI, then click ‘Submit’ to send your information
to HMI for processing

Or, if you prefer, simply print your completed application and supplier
authorization for billing, and fax toll-free to 800.501.6858 or mail to:
3530 Manor Drive, Suite 6, Vicksburg, MS 39180.

If you need assistance or would like to join by phone, call Jackie Dotson,
HMI Member Services, at 800.569.0681.

 
All Fields Required
Principal Owner’s Name
         
Years in Practice Years at this Location
Date of Birth - (mm/dd/yy)
Practice Name
“Bill to” Name
E-Mail Address
Office Phone Number (no dashes)
Office Fax Number (optional) (no dashes)
Type of Practice:

   

   

   

   

   

   

Social Security # (no dashes)
Federal Tax ID # (no dashes)
Billing Address  
Street
City
State
      Zip Code 
Shipping Address (if different from above)
Street
City
State
Zip Code
Owner's Home Address (required for credit verification)
Street
City
State
Zip Code
Level of monthly credit
you wish approved:

   

   

   

   

How did you hear about us?

Membership Agreement

I have read and do consent to the membership agreement for HMI Buying
Group as stated in the terms and conditions below. Please note: Whether
your practice is solo, incorporated, a partnership or an association, all
principal owners must sign below.

First Name Middle Initial Last Name
First Name Middle Initial Last Name
  .