CALL 910-796-8600
Patient Services
Patient Information
Patient Forms
Vision Goals
Insurance
Request an Appointment
The Staff
Testimonials
Contact Us
Referral Portal
Pay Bill
Eye Care Procedures
Cataracts
Dry Eye
Laser Cataract Surgery
ORA
Premium Lens Implants
Symfony® Extended Depth of Focus
Toric IOL
Meet Dr. Brown
Innovations
Meet Dr. Hawkins
Locations
Patient Portal
Eye Care Procedures
Cataracts
Dry Eye
Laser Cataract Surgery
ORA
Premium Lens Implants
Symfony® Extended Depth of Focus
Toric IOL
Dr. Alan W. Brown, M.D.
Innovations
Dr. Richard Dax Hawkins, M.D.
Locations
Patient Portal
Patient Services
Patient Information
Patient Survey
Patient Forms
Vision Goals
Insurance
Request an Appointment
Contact Us
The Staff
COVID-19
Pay Bill
Testimonials
Request an Appointment
Name
*
First
Last
Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Preferred method of contact
*
Phone
Email
What time of day do you prefer for your appointment?
*
Morning
Lunch
Afternoon
Time Frame For Surgery?
Within 3 months
4 to 6 months
7 to 9 months
10 to 12 months
Over 12 months
Procedures of Interest?
*
Cataracts
Corneal
Cosmetic
Glaucoma
Vision Correction
Other
Referred by:
*
Brigman, Sara, OD
Casper, Jamie, OD, PhD, FAAO
Castellano, Perry, OD
Coleman, Jeff, OD
Cooke, Elizabeth, OD
Cooper, Shelia, OD
DesLauriers, Kathy, OD
Dvorszak, Devon, OD
Fanelli, Bonnie, OD
Fanelli, James, OD
Goines, Mike, OD
Gunther, Edmund, OD
Hayden, Deborah, OD
Howard, Michael, OD
Jackson, Brian, OD
Jackson, Jonathan, OD
Kirby, Thomas, OD
Le, Tiffany, OD
Long, Gail, OD
Moshoures, Chris, OD
Mottola, Daniel, OD
Parnell, Tara, OD
Saunders, Mark, OD
Schmidt, Eric, OD
Tart, Philip, OD
Weaver, Ed, OD
Webb, Debra, OD
Williams, Neal, Jr., OD
Other (Please list below)
Referred by (if Other was selected above):
CAPTCHA
Request an Appointment
Patient Forms
Contact Us
Hours and Location
