Visual thinking is a feature of mathematical practice across many subject areas and at many levels. It is so pervasive that the question naturally arises: does visual thinking in mathematics have any epistemically significant roles? A positive answer begets further questions. Can we rationally arrive at a belief with the generality and necessity characteristic of mathematical theorems by attending to specific diagrams or images? If visual thinking contributes to warrant for believing a mathematical conclusion, must the outcome be an empirical belief? How, if at all can visual thinking contribute to understanding abstract mathematical subject matter?