Doctor Portal

Island Eye Surgery Specialists thanks you for entrusting us with the care of your patient. Our practice provides professional and ethical services in providing your patients with the best possible care.

If you need any additional assistance, please do not hesitate to call our office at 718-984-7616.

Our call center is open Monday – Friday from 8:45am – 4:30pm. Patients can expect immediate responses to inquiries submitted during those hours. After 4:30pm, we ask that patients call the office, as opposed to completing the form. When calling after hours, our answering service will pick up. If you have an emergency or urgent issue, you will be connected with one of our doctors.

Please complete the form below.

*Indicates required field

Referring Physician Name*
Referring Office Name*
Referring Office Phone Number*
Patient Name*
First Last
Patient Date of Birth*
MM slash DD slash YYYY
Appointment Type*
Patient Phone Number*
Reason for Referral*
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Doctor Portal

Contact Us

Quick Links

Our Services

Locations