Request an Appointment Now Available Johnson City Eye Clinic is now offering Tele-Video Services. To select this option, choose “Tele-Video” as your preferred location. Call 423-929-2111 for more information. Download Eye Chart Name* First Last Email* Phone*Date of Birth* MM slash DD slash YYYY Gender Male Female Child Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Glasses? Yes No Contacts? Yes No Reason for Visit*Annual Eye ExamDiabeticDry EyesGlaucomaHeadachesLASIK ConsultationLid/Brow LiftMacular DegenerationPediatricOtherIf other... Physician Preference (Optional)John C. Johnson, MDAlan N. McCartt, MDMichael F. Shahbazi, MDAmy B. Young, MDJeffrey O. Carlsen, MDJames W. Battle, MDJennifer Powell Oakley, MDJoshua Busscher, MDLauren Callon Rushing, MDPeter Lemkin, ODInsurance Preferred LocationTele-VideoJohnson CityBristolPreferred Day of WeekMondayTuesdayWednesdayThursdayFridayNo PreferencePreferred TimeAMPMNo PreferenceHow did you hear about us?*Existing PatientFriends/FamilyHealth FairInternetNewspaper / Print MediaPhysician ReferralTV / RadioYellow PagesYour MessageCAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ