Skip Navigation
Skip Main Content

Request An Appointment

Pediatric Ophthalmology of Erie

Pediatric Ophthalmology


Choose a Location

Pediatric Ophthalmology of Erie

128 West 12th Street, Suite 301, Erie, PA 16501

Choose a Provider

First Available

Nicholas A. Sala, DO

Ophthalmology

Wesley Cox, OD

Optometry


Patient Details


Additional Details

Please select at least one day
Any TimeMorningMid MorningAfternoonLate AfternoonEvening
Please complete this field.
Select an option...DaysMonthsYearsNot applicable
Please select an option.
Have You Had Previous Eye Surgery?
Please select an option.


If you have an emergency, Call 911

You Appointment Request Has Been Received!

Thank you for your appointment request! We will respond to your request as soon as possible.


Your Request Summary

Requested Time(s)


Experiencing Issues With This Form? Contact Support