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Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
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To our valued patients:

Starting Monday, May 18th we will resume working regular hours.

We are taking extra measures to maintain office cleanliness to ensure the health of our patients and staff.

It is highly recommended that all patients wear masks.

If you need to pick up your glasses please schedule an appointment.

Please call the office at (920) 968-7546 if you feel you have an emergency. Additionally, don’t hesitate to contact us if you need to order a supply of contacts. We can ship them directly to you. Check out our website if you may be interested in purchasing glasses online through Proper Optics.