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Patient Center

At Summers Optical, Inc., we believe in continual improvement of our services. Please take a few moments and share your experience with our office. We appreciate your feedback!
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Online Forms

Download the necessary form(s), print it out and fill in the required information. Please fax (270-886-4773) us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form (Required) - Download & Print

Financial Policy - Download & Print

Payment Options

At Summers Optical, Inc., our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

  • Cash
  • Check
  • All Major Debit and Credit Cards (Visa, MasterCard, American Express and Discover)
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)
  • Care Credit

Participating Insurances
We accept most insurance plans at our office. Some of the Participating Insurances we accept are: Avesis, EyeMed, Davis Vision, Comp. Benefits (VCP), TRAD North America, and Medicaid. Many plans and coverage vary. Please call our office and our staff will verify and explain your benefits before your visit, at no charge.