Appointment Request Form

Vision Insurance/ Insurance (if any):
Insurance Number:
I would like an appointment with:

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

    Gregory Popowitz, O.D.
    Roxanne Rottiers, O.D.
    Ellen Dohr, O.D.

    2333 JOLLY RD
    OKEMOS, MI 48864