The Pediatric Vision Directory Update Survey is designed to collect details about optometry and ophthalmology practices that examine and treat children with vision disorders. The results will then be organized by county and shared with school nurses to help students and their families find vision care. By completing this form, you agree to have your practice included in the directory.
If you have questions about the survey, please contact Molly Nelson, the Children’s Vision Program Coordinator, at Molly.Nelson@odh.ohio.gov.


Pediatric Vision Provider Directory

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* 1. Name of primary practice/business:

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* 2. Street Address

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* 3. City

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* 4. Zip Code

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* 6. Phone Number

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* 7. Website

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* 8. Do you want to include a secondary practice/office location?

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