Name: Texas State Optical
Address: 8700 Central Mall Drive, Port Arthur, TX, 77642, US
Telephone: (409) 205-0136
Price range: $000 - $300

Please fill in the form below to setup an appointment.

Patient Name:*

First Last

Patient Birth Date*

Patient Type*

New Patient
Former Patient

Reason for appointment:*

Preference of Doctor:*

Dr. Khanh Kaylee Dan - available Monday to Friday
Dr. Janet Baker - available Tuesday and Thursday
No Preference

Preferred Day:*

Preferred Time:*

Early AM 9:00 - 10:00
Later AM 10:30 - 11:30
Early PM 1:30 - 3:00
Later PM 3:30 - 4:30

Are you interested in glasses or contacts?

Eyeglasses
Contacts Lenses
Both

Are we billing Insurance? If yes, please provide details.

How may we contact you?

Phone*

Text

Email

Additional Comments or Requests:

Name

This field is for validation purposes and should be left unchanged.

How may we contact you?

Texas State Optical

A Message to Our Patients