St. Lucy's Vision Center

Office Hours

Monday	8:30 AM - 5:30 PM
Tuesday	8:30 AM - 5:30 PM
Wednesday	10:30 AM - 7:30 PM
Thursday	10:30 AM - 7:30 PM
Friday	8:30 AM - 4:00 PM
Saturday	8:30 AM - 1:00 PM

Request an Appointment

Please fill out and submit the following form to request an appointment. We will get back to you the next business day. You can also schedule an appointment by calling us at 813-908-0100 or emailing us at make.appointments@stlucysvision.com.

Our office requires patient information and health history to be completed for all new patients. Established patients are asked to update this information every three years or as needed due to changes. The form is available here.

Appointment Request Form

* indicates required field

Patient Information
*First Name:
*Last Name:
Date of Birth:
Medical/Vision Insurance:	Other (please specify below) Beech Street Coventry CCN Evolutions Healthcare Systems First Health Medicare PHCS SouthCare TRICARE Unicare VCP - Vision Care Plan VSP - Vision Service Plan
Other Insurance:
Insurance ID #:
Appointment Information
Reason for Visit (check all that apply):
Annual Eye Exam
Contact Lens Fitting
Laser Vision Correction
Other Eye Concerns
Preferred Physician:	no preference Dr. Stephen Dr. Mercer
Requested Date(s):
Best Time of Day:	Morning Midday Evening
Contact Information
*First Name:
*Last Name:
*Home Phone #:
Work Phone #:
Cell Phone #:
Email:
Preferred Method of Contact:	Home Phone Work Phone Cell Phone Email
Comments: