Plain View Optical
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Patient Forms


Please fill out the following patient information forms and bring them with you to your first visit. Signing "Acknowledgment of Receipt of Privacy Practices" on the form signifies that you have read the Privacy Policy, listed below.

  • Patient Information Form
  • Privacy Policy

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Integrated Online Patient Forms:
BackPatientForm.pdf

Location:
86 Manetto Hill Mall
Plainview, NY 11803
goo.gl/maps/U8kHzKwYbCs14mu3A
Office Hours:
​Monday:  10:00 am – 6:30 pm
Tuesday:  10:00 am – 5:30 pm
Wednesday:  10:00 am – 6:00 pm
Thursday:  10:00 am – 6:00 pm
Friday:  10:00 am – 5:30 pm
Saturday:  10:00 am – 5:00 pm

Phone: (516) 935-0899
Fax: 516-935-0969
Email: plainviewoptica[email protected]

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Notice of Privacy Practices.
  • Home
  • Our Staff
  • Patient Forms
  • Schedule Appointment
  • Services
  • Sports Eyewear
  • Eyecare Articles