
We promise to tailor each and every appointment to fit your unique and individual needs. We look forward to meeting you!
For more information on your initial visit or to request an appointment, please don’t hesitate to call us today at (407) 654-5453!
Patient Forms
New Patient Health History Form – Download & Print Form
Privacy Policy – Download & Print Form
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Professional Fees and Insurance
Payment is expected at the time of service. Types of payments accepted are cash, credit and debit (Visa, MasterCard, Discover, and American Express). Insurances we are in-network for and accept include:
Vision Plans
- Eyemed
- Vision Care Plan/Humana Vision
Medical Plans
- Aetna
- United Healthcare
- Blue Cross Blue Shield (select plans)
- Cigna (select plans)
Out of network plans
- VSP (claim form)
- Davis Vision (claim form)
- Superior Vision (claim form)
- Spectera/Optum Health (claim form)
PLEASE PROVIDE ALL INSURANCE INFORMATION BEFORE YOUR EXAM.
We will not be able to back date, refund or submit a claim on your behalf if insurance information is not provided at the time of service.
*Disclaimer: Even though we verify the type of coverage allowed under your plan at the time of service, eligibility does not guarantee payment by your insurance carrier. In the event the insurance carrier determines you are not eligible or applies the charges towards your deductible, you are financially responsible for any charges not paid by your insurance plan.