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Physician Referrals For Low Vision Services 
Helping You See Better!

Low Vision Referrals

Physician *

Phone of Referring 

Patient Full Name

Phone of patient*

D.O.B. of Patient

Rx "For Low Vision & Low Vision Devices " 

Must Be Faxed to (239) 288-5329

Thanks for submitting!

Accepting New Patients

Address

Metro Medical Plaza Building

First Floor

13691 Metro Parkway 

Suite 100

Fort Myers Florida, 33912

Eye Exam Hours

Appointment Required
 

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday      

10 AM to 5 PM

10 AM to 5 PM

10 AM to 5 PM

10 AM to 5 PM

10 AM to 5 PM

By Request

Closed

Optical Shop
 

Call Ahead Requested

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday      

11:30 AM to 4PM

11:30 AM to 4 PM

11:30 AM to 4 PM  

11:30 AM to 4 PM 

11:30 AM to 4 PM 

By Request

Closed

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