EMAIL US

• Use this form to order replacement contacts, make appointments and ask questions. Be certain to select the office you want to contact.
• Important:  We must have a current charge card number on file to process your contact lens order
• This email will go to the general information mailbox for the office you designate
• If you want to contact an individual doctor please visit the "Meet the Doctors" page
• If you want to contact an individual staff member please visit the "Staff" page

Select Your Doctor's Office:

Dr. Henry Greene - Academy Road, Durham, NC Dr. David Kroninger - Martin Luther King, Jr. Blvd., Chapel Hill, NC Dr. Dale Stewart - West Main Street, Durham, NC Dr. Barbara Wujciak - Academy Road, Durham, NC

Subject:

Request an Appointment Re-Order Contacts General Message

Your Name:

Patient Status:

Current Patient New Patient

Referred By:

How can we reach you?

Phone Number:

Email Address:

Message / Reason for Appointment