Register

Bomaid Optical Platform Registration

Welcome to the Bomaid Optical Administration system Registration page.
Please complete the document below to register as a user on this state of the art Optical Healthcare Management system.
Preferred Provider Negotiators (PPN) will on receipt of your registration validate the provider and user details and approve the log in details accordingly.
Users will obtain the latest Bomaid Optical communication, validate membership, confirm benefits, capture claims (no switching fee) as well as receive immediate or online feedback
PLEASE ENTER THE DETAILS CAREFULLY AND ACCURATELY TO AVOID DELAYS WITH THE REGISTRATION PROCESS.
DO NOT SHARE PASSWORDS AS USER ACTIVITY IS LOGGED AGAINST THE PROFILE BELOW
You will receive confirmation within 24 hours to confirm that your registration is active on the email address provided below:

Practice Number:

Practice Name:

Practice Contact Number:

Practice Contact Email:

Practice Physical Address:

User First Name:

User Surname:

User Idenification Number (ID or Passport):

Username For Platform Sign In:

User Password - For Platform Sign In (SHOULD NOT BE SHARED AND IS CASE SENSITIVE):

I agree and understand that my activity and submissions on the Bomaid Optical Platform will be logged and captured.

I agree and understand that the information could be extracted for query purposes and for future investigations.

I agree and understand that the information submitted will be a true reflection of the information and products supplied to Bomaid members by the practice details supplied in my registration.