132 Boston Post Road
East Lyme Connecticut 06333

860-739-3933

Contact Koch Eye Laser Vision Centers in
East Lyme Connecticut

Your Name
Street Address
Address 2   (Suite or PO Box)
City
State Zip Code
Country
Phone
 Ext. or Direct #
Fax
E-Mail Address

Would you like to schedule an appointment?
 Yes No

Please provide us with information about when you would like an appointment. We will e-mail you with an appointment confirmation.
Month of  Time Day
Morning
Afternoon
Evening

  
Are you currently a patient: Yes No

If not, how did you hear about our practice: 

Use the space below for your questions & comments:

132 Boston Post Road
East Lyme Connecticut 06333
860.739.3933