Schedule Your Appointment

Name:
Age:
Phone:
Email:
Message:

  Schedule Now
Home > Pages > Pay Online
Pay Online

To make an online payment, complete the form below.

Payment Details

Patient Name*
Patient DOB*
Account Number*
Amount*

Billing Information
Please provide your billing information.

First Name*
Last Name*
Street Address*
City*
State*
Zip Code*
Phone Number*
Email Address*
Email

Payment Information

Card Type*
Card Number*
CVV Code*
Name on Card*
Expiration*
/

I hereby authorize my bank to deduct from my bank account this one-time payment of my The Eye Center bill as indicated above. The Eye Center will note this transaction on my account until funds are secured from my banking institution. In the event The Eye Center is unable to secure funds from your bank account for this transaction for any reason, including but not limited to, insufficient funds in your account or insufficient or inaccurate information provided by you when you submit your electronic payment, further collection action may be undertaken by The Eye Center including application of returned check fees to the extent permitted by law.

AGREEMENT: By clicking 'Submit,' you are agreeing to the above Terms & Conditions.

 Spotlight

AcrySofⓇ IQ PanOptixⓇ IOL
Provides cataract patients with clear vision for near, intermediate and far distances, without glasses.
AcrySofⓇ IQ PanOptixⓇ IOL
button_learnmore

Glaucoma & iStent
iStent works to help control your eye pressure by improving the outflow of fluid from your eyes.
iStent
button_learnmore

Diabetic Eye Disease
Diabetic eye disease is the leading cause of blindness in the 20-64 year age group.
Diabetic Retinopathy
button_learnmore

LenSx® Femtosecond Laser
The LenSx® Laser is the first femtosecond laser cleared by the FDA for use in cataract surgery.
LenSx® Femtosecond Laser
button_learnmore