Welcome to Our Office

Name: Advanced Eye Care Center
Address: 4025 W Bell Rd, Suite 10, Phoenix, AZ, 85053, US
Telephone: 602-978-4025
Price range: $000 - $300

ADVANCED EYE CARE CENTER
Dr. Waleed Alsadi
Optometrist
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Who may we thank for your referral
We invite you to participate in our online system.
Features include:
· Request Appointments Online
· Confirm Appointments via Email
· Receive Text Message Appointment Reminders
· Submit Patient Satisfaction Surveys
· Refer Your Friends Online
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ASSIGNMENT OF BENEFITS/SIGNATURE ON FILE
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.
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ASSIGNMENT OF BENEFITS/SIGNATURE ON FILE

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