As of 1-18-2014 this is what the USA looks like, as organized by State Owned IPAs! The fundamental building blocks of Vision Care Direct are the individual state IPAs. An Independent Physician Association is an organization of eye care doctors within a state. The purpose of the IPA is to supply managed vision benefits DIRECTLY to employers, individuals and families and to facilitate the inclusion of Optometry into ACOs (Accountable Care Organizations) and PCMHs (Patient Centered Medical Homes). The Green is where it is all happening! Look for NY to be Green Soon! Register Now, to see if your practice can qualify! Help us go green for you and optometry!