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I authorize payment of my benefits directly to Advanced Eye Care Center for services rendered. I also authorize release of any medical information that may be required in determination of such benefits. I understand that some services and procedures may not be covered by my insurance carrier. Fees not paid by my insurance carrier will be my responsibility. This authorization is in effect until I choose to revoke it.

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I Acknowledge I have been offered/received a copy of this office’s Notice of Privacy Practice. Date Edit form Make An Appointment Patient Forms Read Our Reviews Our Satisfaction Promise Follow Us Google Facebook Yelp Instagram Advanced Eye Care Center 4025 W Bell Rd, Suite 10 Phoenix, AZ 85053 Phone: 602-978-4025 Fax: 602-843-7101 Email: [email protected] (Do not send personal health information by email.) technological advances We are Proud to Provide Co-Management of Lasik and Cataract Su

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Advanced Eye Care Center

Name: Advanced Eye Care Center
Address: 4025 W Bell Rd, Suite 10, Phoenix, AZ, 85053, US
Telephone: 602-978-4025
Price range: $

4025 W Bell Rd, Suite 10
Phoenix, AZ 85053

Phone: 602-978-4025
Fax: 602-843-7101
Email: [email protected]
(Do not send personal health information by email.)