Appointment Request Form

Vision Insurance/ Insurance (if any):
Insurance Number:

Please select up to 3 appointment dates / times.
If you can't find a convenient appointment time, please call our office

Enter Letters Shown

Please Note: The requested appointment time(s) may no longer be available. We will contact you to confirm your actual appointment date and time.

Practice Photo
  • Dr. Steven C. Moore and Associates

    Uptown Eye Care
    Steven Moore, O.D.
    Sara F. Beaver, O.D.

    100 N Tryon Street
    Founders Hall, Suite 280
    Charlotte, NC 28202