First Name * Last Name * Address 1 * Address 2 City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Who is your Ophthalmologist or Optometrist? * - Select -Allen R. Pearce, MDAnnette M. Rhodes, MDCandace C. Collins, MDCharles E. Afeman, MD, FACSCrayton A. Fargason, MDDavid P. Fargason, MDFay L. Woo, MDGeorge D. Fivgas, MD, FACSGlen LaMonica, ODH. Michael Haik Jr, MD, FACSDaniel H. Nelson MDMichael Abbott, ODPhilip D. Ehrlich, MDR. Lucas Patin, ODRobert Geier, ODShaye Luckett, MDThomas J. Heigle, MDDevin B. Tran, MD Zip * Phone * Email * Date of Birth * Are you a patient of EMC? * Yes No Comments *