The organization was volunteer-driven until 2005, when after an extensive strategic planning process, three decisions were made:

• There was a need for the members’ collective voices to be heard nationally,
• The organization hired its first Chief Executive Officer to organize and promote this national message, and
• a national headquarters was created in St. Louis, Missouri.

In 2006, NCPABVI merged with the National Vision Rehabilitation Association and became the pre-eminent leader in promoting Medicare reimbursement for certified vision rehabilitation professionals, i.e., Low Vision Therapists, Orientation and Mobility Specialists, and Vision Rehabilitation Therapists.

In 2007, NCPABVI engaged in a re-branding process which resulted in a name change to VisionServe Alliance to better represent the commonality amongst its diverse membership – an alliance of organizations providing vision rehabilitation-related services.

In 2012, VisionServe Alliance celebrated its 25th Anniversary, received the “Chairman’s Award” from First Nonprofit Insurance Company for 25 years of accomplishments, and received its first matching grant for $100,000 from the Gibney Family Foundation and First Nonprofit Foundation of Chicago to expand the vision rehabilitation workforce.

Since that time, VisionServe Alliance has grown steadily, added full-time staff, and initiated several major industry initiatives.