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North Location

Address:
11455 N. Meridian Street
Suite 100
Carmel, IN 46032

Phone: (317) 846-4223
Fax: (317) 573-0748
Optical: (317) 844-3122

Office Hours:
8:00-5:00 M – F
8:00-12:00 Sa
First and Third Saturday of the Month

Special Driving Instructions:
North on Meridian Street (US 31) to 116th Street, turn right (east), one block to Pennsylvania. Turn right (south), 2 story building (third building) on right (west) side of street.

West Location

Address:
3850 Shore Drive Suite 100
Indianapolis, IN 46254
Phone: (317) 293-1420
Fax: (317) 297-6507
Optical: (317) 293-6177

Office Hours:
8:00-5:00 M – F
8:00-12:00 Sa
Second and Fourth Saturday of the Month

Special Driving Instructions:
I-465 to West 38th Street. West on 38th Street to 1st stoplight, turn right onto Shore Drive then 1/2 block to 3-story medical building across from McDonalds, turn left into parking lot.

Contact Us

Contact Us
First
Your Eye Doctor’s Name (if applicable)
Preferred Method of Communication *

Appointment Request Form
Purpose of Appointment Request *
Is it after 5:00 PM EST on a weekday or after 12:00 PM on a Saturday?
Are you wanting to reschedule an existing appointment?
Was this a physician referral?
Preferred Office Location
Patient Type
Will your appointment require an interpreter?
Do you have a specific doctor you would like to see?
Do you have a specific doctor you would like to see?
Your Gender
Your Address
Your Address
City
State/Province
Zip/Postal
Do you have medical or vision insurance?
Do you have an insurance card you can upload on this form?
Which of the following insurances do you have?
Maximum upload size: 52.43MB
Maximum upload size: 52.43MB

Please enter your MEDICAL insurance card information.

Medical Insured/Subscriber

Please enter your VISION insurance card information.

Vision Insured/Subscriber
Do you wear contact lenses?
Do you have an emergency that needs to be seen today?
Was there an injury to the eye?
Which eye is injured?
Which eye is experiencing problems?
Eye Symptoms (check all that apply)
Please provide your preferred time of day.
Please provide your preferred means of communication.
Would you like to schedule any other family members?
How many additional family member appointments?

Please provide the following information on family member #1.

Purpose of Appointment Request *
Same date and time as your appointment?
Doctor Preference?
Gender
Same Insurance as Above?
Medical Insured/Subscriber
Vision Insured/Subscriber

Please provide the following information on family member #2.

Purpose of Appointment Request *
Same date and time as your appointment?
Doctor Preference?
Gender
Same Insurance as Above?
Medical Insured/Subscriber
Vision Insured/Subscriber

Optical Inquiry Form
Preferred Office Location *
CREDIT CARD INFO for Payment (card will not be charged without your permission) *
CREDIT CARD INFO for Payment (card will not be charged without your permission)
3 digit code
SHIPPING ADDRESS *
SHIPPING ADDRESS
City
State/Province
Zip/Postal
PREFERRED MEANS OF COMMUNICATION *

If during office hours, call one of our offices and press “2” to reach scheduling.  If after office hours, call 317.846.4223 and press “9” to reach our doctor on-call or call 911.  If not urgent, click the “I need to schedule/reschedule an eye exam” link above.