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We're in the Afton Ridge Shopping Center at 6167 Bayfield Parkway
Call 704-795-3937 to schedule an eye exam

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Home » Contact Us » Online Patient Registration Form

Online Patient Registration Form

*These forms are for New and Existing patients.

Complete all information to the best of your ability. Including email address, phone numbers, and Insurance. Primary Insurance is usually the Medical and Secondary is the Vision Insurance.

Thank you and We will see you soon!