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Demographic

  • Emergency Contact Person's Number
  • Emergency Contact Persons's Relation
  • Be Specific so we can Assess your Visual Needs at Work and Leisure & Set up Corp. Discount & save $500/company
  • If you heard about us via Friend/Patient/Doctor please leave their name. If you heard about us via Google please write search term used. Leave blank otherwise.
  • MEDICAL INSURANCE INFO. (REQUIRED FOR ALL PATIENTS): To offer a Medical Credit for LASEK and for Office Visits/Second Opinions we must confirm that we accept your plan, that it’s active, and if you need a Referral to see a Specialist. We also need this so we can bill your insurance for punctal plugs to treat Dry Eye Syndrome & speed healing after surgery. We will bill only with your permission. We will accept as full payment whatever your insurance pays—unless it is $0 because you didn’t get a referral, or if you’re inactive, or if your referral isn’t used up. Call Kaye at PM Medical Billing at (516) 922-1561 if you have
  • SECONDARY INSURANCE (Medical or Vision): CAN HELP COVER MORE OF YOUR PROCEDURE COST

Ask Dr. Chynn Directly!

  • No other laser vision correction surgeon in New York, NY....

    ...offers you the opportunity to have a Free Remote Consultation with the surgeon! Ask Dr. Chynn your main question or concern, and he’ll answer them, personally, by email within 2 business days!

    Unsure whether you're a good candidate because of a lot of astigmatism? Large pupils? Dry eyes? Maybe you were rejected by LASIK surgeons due to a “thin cornea” or high prescription.

    Take advantage of this incredible opportunity to find out if LASEK is an option for you from Dr. Chynn, our famous, cornea fellowship-trained, Columbia & Harvard graduate who’s in MENSA & was the 1st eye surgeon in NY, NJ, CT & PA to get LASIK, & has performed 1,000 PRKs, 5,000 LASIKs, 10,000 LASEKs, and 5,000 epiLASEKs

  • Please ask only your most pressing question or concern as Dr. Chynn is offering this free service on a trial basis to help interested patients.
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