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Online Patient Registration Form

lock icon Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our Plainview optometry practice. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

To all our valued patients and friends:

Due to the coronavirus pandemic and in order to do our part to protect the health of our team, patients, friends and families, Optix Family Eyecare will be closed until at least April 1st.

Please see below for our continued services to you

Please stay safe and let us know how we may be of service. Our primary goal is to make sure that everyone stays healthy in this new normal.

Office Phone: 516-931-6330

Email: Seeclearly@optixeyecare.com 

Please stay safe and healthy.

Together we will be stronger than ever.