Patient Center

Kisiolek_Eye_Center_Reception_1

Welcome to our patient center! At Kisiolek Eye Center we believe in making your experience at our office remarkable.

Patient Satisfaction Survey - Submit Online

Online Forms

Download the necessary form(s), print it out and fill in the required information. Please fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Form (Required) - Download & Print


What to Expect Upon Your Visit

Upon your arrival, our receptionist will welcome you as a member of our practice. If you haven't already done so online, we will ask you to complete a few forms. This paperwork provides us with your health history and other information related to providing you with the best vision solutions.


Payment Options

Kisiolek Eye Center has products and pricing to accommodate all budgets for your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.
Our Office Accepts:

  • Cash
  • Check
  • Visa, MasterCard, and Discover
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)

Participating Insurances
Kisiolek Eye Center accepts most major medical and vision insurance plans and participates in many vision discount programs. Due to the large number of plans, specific details vary. Our staff is available to assist you in understanding your policy. If you vision benefit program is not listed below, please contact your employer's human resource department for providers in your area.

Vision Networks:

specteraoptumhealth

Optum Health/Spectra

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EyeMed


vsp

VSP (Vision Service Plan)

nva

National Vision Administrators


Medical Insurance Companies


anthem

Anthem Blue Cross Blue Shield


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Aetna



cigna_logo

Cigna


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Humana



prairie

Prairie States (HPS)


MedicareLogo-1

Medicare



MedicareLogo

Medicare Replacement Programs


uhc

United Health Care (UHC)



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United Medical Resources (UMR)


wealogo

WEA



wpslogo

WPS