Organizing vision theory, a native, 20-year old IS theory, provides a macro-level cognitive institutional perspective on how IT innovations are adopted, used, and diffused within and across organizations. As such, the theory addresses a core issue of the IS discipline and can help researchers answer senior scholars’ repeated calls for more macro-level research. How have researchers in the past two decades, then, developed and leveraged this important theory? In this paper, we review the organizing vision literature, providing assessments of the depth and breadth of IT innovation diffusion research it has spurred. Our analysis suggests that literature the theory is at an intermediate developmental stage, at best. Based on our findings, we suggest future directions for organization vision theory. Our review approach can inform evaluations of other native IS theories.