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Vendor’s Form

  • Date Format: MM slash DD slash YYYY
  • Thank you for your submission. We will get back to you via email or phone call in the next 5 business days. Please do not call our office until you receive a disposition on our interest level.
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Our office is open once again and is accepting new patient appointments.

To learn more about how we are protecting our patients and staff during this time, please click here.

Please contact us if you have an eye emergency or if you need to re-order contacts. We are here for you!