Departments
Appointments:
631.957.3355
Surgery:
631.957.2852
Billing:
631.957.1290
Accounts Payable: 631.957.0916
Administration: 631.957.2465
Emergency Line:
631.957.2983
Communications Line:
631.957.5558
Referral Line:
631.957.5559

Please explain briefly your specific eye needs so that we can evaluate what procedure is right for you. One of our representatives will contact you shortly. All information remains 100% confidential.

* Required

First Name *  
Middle Initial  
Last Name *  
Home Phone  
Address *  

Fax Phone  
City  
State
Zip *  
Email Address *  
Comments
Services Interested In
 LASIK  Custom Vue
 Pediatric Eye Care  Comprehensive Eye Care & Examinations
 Glaucoma Eye Care  Cataract Removal and Lens Manipulation
 Diabetic Eye Care  Other

How did you hear about us? *
Print
 LI Press  Clipper Mag  LI Parenting
 Conde Nast Traveller  Glamour  Parent Guide
 LI Woman  Architectural Digest  Pennysaver
 Allure  Self  Jane
 W  Max  LI Parents & Children
 The New Yorker  Newsday  Vogue
 Newsday How2  Daily News  Distinction
 Lucky  LI Business News  Value Mag
 Vanity Fair
TV
 News 12  TV55  Lifetime
 E!  Home & Garden  TLC
 Food Network  TBS  AMC
 VH-1  BET  Bravo
 Comedy  Soap  Travel
 We  History  A&E
Radio
 WALK  WBLI  WBAB
 WLIR  WXXP  WKJY
 WOR  MIX 102.7  WLVG
 WCBS  B-103  WRCN
 WHLI  WDRE  WINS
Other
 Newsday.com  Internet  Direct Mail
 Referral  Former Patient  Other
 LongIslandPress.com




info@lindyeye.com © 2004 Lindenhurst Eye Physicians & Surgeons, P.C., All Rights Reserved
Privacy Policy

Website Design, Development and Hosting