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Wilson Office: 1707 Medical Park Drive • Wilson, NC 27893
Phone: 252-291-7008 • Fax: 252-291-1281

Rocky Mount Office: 3044 Sunset Avenue • Rocky Mount, NC 27804
Phone: 252-443-6129 • Fax: 252-443-2435

Patient Portal Apptointments Patient Forms

Please complete the appointment request form below. Our office staff will contact you to confirm your appointment.

Patient Information

Patient Name:
Patient Date of Birth:
New or Existing Patient?	New Patient Existing Patient
Home Phone:
Cell Phone:
Preferred Contact Method:	Home Phone Cell Phone
Email Address:
Insurance:

Appointment Information

Two Convenient Offices

Medical Eye Associates has offices located in Wilson and Rocky Mount to provide complete vision care services for patients in eastern North Carolina.

Wilson

1707 Medical Park Dr.
Wilson, NC 27893

Phone: 252-291-7008
Fax: 252-291-1281

Mon – Thu: 8:00 a.m. – 5:00 p.m.
Fri: 8:00 a.m. – 1:00 p.m.

Map & Directions

Rocky Mount

3044 Sunset Ave.
Rocky Mount, NC 27804

Phone: 252-443-6129
Fax: 252-443-2435

Mon – Thu: 8:00 a.m. – 5:00 p.m.
Fri: 8:00 a.m. – 1:00 p.m.

Map & Directions

Appointment Type:
Preferred Day:	Monday Tuesday Wednesday Thursday Friday
Preferred Time:	Morning (AM) Afternoon (PM)
Secondary Preferred Day:	Monday Tuesday Wednesday Thursday Friday
Secondary Preferred Time:	Morning (AM) Afternoon (PM)
Question/Comment:

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Two Convenient Offices

Wilson

Rocky Mount