3512 Paesanos Pkwy. Suite 203
San Antonio TX 78231
PHONE:
(210) 729 0544
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H.E.C. Eyemed Spa
Appointment
Eyedrop Refill
Patient Registration
Our Services
ABOUT US
WHY CHOOSE US?
MEET YOUR EYE DOCTOR
INSURANCE
OFFICE HOURS
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WHAT WE DO FOR YOU!
OUR SERVICES
EYEGLASSES
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BLUE LIGHT LENSES
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EYEGLASS GUIDE 2.0
TRANSITION LENSES FAQ's
EYEGLASSES FAQ's
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ORDER CONTACT LENSES
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OASYS TRANSITIONS
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★
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Order Contacts
Fill out this order form so we can evaluate your request. We will call you to confirm your payment method & order requirements. If you have any questions, please give us a call.
Full Name
Date of Birth (mm/dd/yyyy)
Phone (xxx-xxx-xxxx)
Email
Patient Status
New Patient
Current Patient
Which eye(s) are you ordering contacts for
Right
Left
Both
Vision Insurance Info (Optional)
Enter plan provider and your ID #
(Note: Medicaid does not cover contact lenses)
Notes
EMERGENCY
OFFICE HOURS
Mon
9:00 - 5:00
Sat
9:00 - 2:00
3512 Paesanos Pkwy. Suite 203
San Antonio, TX 78231
Map it!
PHONE
(210) 729 0544
Holistic Eye Center
3512 Paesanos Pkwy Suite 203
San Antonio
,
TX
78231
Phone:
(210) 729-0544
Fax:
(210) 729-0545
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