Eye Physicians & Surgeons, PC Office
Decatur Office:
1457 Scott Blvd.
Decatur, Ga. 30030

(404) 292-2500
FAX: (404) 294-9361

Map It!
North Atlanta Office:
1300 Altmore Ave.
Building D, Suite 175
Atlanta, Ga. 30342
(404) 303-8882
FAX: (404) 294-9361

Driving directions to the North Atlanta office have changes as of Monday, 3/14/22. Follow this link to get directions, as most GPS navigation will be incorrect due to construction in the area.
Eye Physicians & Surgeons, PC Logo
(404) 292-2500     FAX: (404) 294-9361
Request Appointment
Pay Bill Online

Request an Appointment

COMPLETE THE REQUEST BELOW. NOTE: This is only a request, we will review preferences per the request to schedule your appointment. We will contact you with actual date and time scheduled once scheduling is complete.

For immediate assistance for an eye emergency or problem, you should call our office at (404) 292-2500. Do not use this electronic request for an immediate appointment due to an eye emergency or problem.

Preferred Appointment Date:
AM or PM:
First Name:
Middle Initial:
Last Name:
Date of Birth:
Home Phone:
Alternate Phone:
Choose A Doctor:

Do You Have Insurance?

If Yes, Insurance Company:

New Patient?

If you are a new patient, please complete the following:

Home Address:
ZIP Code:
How Did You Hear About US:

Please Enter Security Code:

Notice: The message sent with this form is not considered secure. It sends an email to the recipient. Do not send confidential information or anything you would be uncomfortable sending by email.