Request an Appointment

Name: August Wallace Eyecare Associates
Address: 3032 N. Eastman Rd, Longview, TX, 75605, US
Price range: $000 - $300

Reason for Appointment*
Appointment requests are sent to your practitioner using regular email so please do not enter confidential information.
Preferred Dates & Times
(Please use full date & time)
Office Hours: M-F 9am - 6pm, Closed Weekends
Patient Type
- New
- Returning
Name*
First Last
Telephone*
Your Email*
When can we reach you?*
(The "BEST" time to reach you for confirmation)
Comments
Name
This field is for validation purposes and should be left unchanged.

Si prefiere rellenar el
formulario en español,

polarized

Site Links