Online Patient Forms

Patient Information

Patient Forms

Please be advised that part of our COVID-19 protocols is to minimize paper entering the office. As a result, after you book your appointment a unique link will be emailed to you for the completion of intake forms.

Please fill out these online forms before your examination date. Keep in mind each patient will need a unique email address. If you prefer doing things on paper, below is the appropriate information.

Call Us


Park Eye Center
1018 Park Blvd
Massapequa Park, NY 11762


Monday: 9:00AM - 6:00PM
Tuesday: 9:00AM - 6:00PM
Wednesday: 9:00AM - 1:00PM
Thursday: 9:00AM - 6:00PM
Friday: 9:00AM - 6:00PM
Saturday: 9:00AM - 2:00PM
Sunday: Closed

Schedule an Appointment Today!

Routine eye appointments are the easiest and best way to keep your eyes healthy and to maintain clear vision. It is recommended that you have an eye examination every 12 to 24 months, based on your age and health. If it has been longer than two years since your last eye exam, or you are experiencing changes in your vision, please schedule an appointment now. You only have one set of eyes and we want to take care of them.

You can contact our optometry office in Massapequa Park, NY at (516) 798-9226 to schedule an appointment today.