Illumin Eyes Vision Care Appointment Scheduler

To book your appointment,
please select a provider.

What is the reason for this visit?

Please choose one

Please select a date and time

All fields are required

space available

Please enter your personal information

All fields are required

Male Female

Are you an existing patient?

Cell Phone Number

Preferred Number

Email Address

Additional Notes

What is the main reason for this visit?

Please Enter your Medical Insurance Information

BlueCrossBlueShield, United Healthcare, Cigna, Aetna, etc

Enter your medical insurance plan

Please Enter Your Vision Insurance Information

Medical insurances typically outsource vision to a group such as VSP, Eyemed, Spectera, Superior, etc.

Enter your vision insurance if any

Who is the primary insured party?

Out of Network provider with Eyemed & VSP - Patients pay for exam and glasses/contacts out of pocket. We submit to Eyemed or VSP for partial reimbursement directly to you. You recieve a check in the mail approximately 4 weeks after your visit. Many patients also have a routine vision coverage through their medical health insurance. Please call our office for more information.

Review and Submit

Please review then click submit.

1. Personal Details
- First Name:
- Last Name:
- Dob:
- Email:
- Phone:
2. Appointment details
- Reason for visit:
- Appointment time:
- Provider:

To book your appointment, please select a provider.