Benefit Summary In-Network Out-of-Network Vision Care Services Member Cost Reimbursement Exam With Dilation as Necessary $10 Copay Up to $30 Contact Lens Fit and Follow-Up (Contact lens fit and two follow up visits are available once a comprehensive eye exam has been completed) Standard Contact Lens Fit & Follow-Up Up to $40 N/A Premium Contact Lens Fit & Follow-Up 10% off retail N/A Frames $0 Copay; $100 allowance; 80% of charge over $100 Up to $50 Want to learn more? For a complete list of providers near you, use our Provider Locator on www.eyemedvisioncare.com and choose the SELECT network or call 1-866-299-1358. For Lasik providers, call 1-877-5LASER6. Additional Discounts and Features: 40% off additional eyewear purchases. 20% off non-prescription sunglasses. 20% off remaining balance beyond plan coverage. Laser vision correction - 15% off the retail price or 5% off the promotional price for LASIK or PRK procedures. Standard Plastic Lenses Single Vision $10 Copay Up to $25 Bifocal $10 Copay Up to $40 Trifocal $10 Copay Up to $55 Standard Progressive Lens $75 Up to $40 Premium Progressive $75, 80% of charge less $120 Allowance Up to $40 Lens Options (paid by the member and added to the base price of the lens) UV Treatment $15 N/A Tint (Solid and Gradient) $15 N/A Standard Plastic Scratch Coating $15 N/A Standard Polycarbonate $40 N/A Standard Polycarbonate - Kids under 19 $40 N/A Standard Anti-Reflective Coating $45 N/A Polarized 20% off retail price N/A Other Add-Ons and Services 20% off retail price N/A Contact Lenses Conventional $0 Copay; $115 allowance; 15% off retail price over $115 Up to $92 Disposable $0 Copay; $115 allowance; plus balance over $115 Up to $92 Medically Necessary $0 Copay, Paid in Full Up to $200 Laser Vision Correction Lasik or PRK from U.S. Laser Network 15% off retail price or 5% off promotional price N/A Frequency Examination Once every 12 months Lenses or Contact Lenses Once every 12 months Frame Once every 24 months MOE-01-0411
Use your benefit and see great savings Cost for glasses with standard single-vision lenses With EyeMed Without Vision Coverage** Step 1: Step 2: Get an Eye Exam Pick a Frame (allowance $100) Selected a $170 frame (20% discount) $10 $0 $56 $88 $100 $70 Step 3: Pick a Lens Upgraded to Std. Polycarbonate Added Tint $10 $40 $15 $75 $62 $25 Step 4: Total Cost $131 $420 See the Savings $289, or a 69% savings Cost for glasses with standard progressive lenses With EyeMed Without Vision Coverage** Step 1: Step 2: Get an Eye Exam Pick a Frame (allowance $100) Selected a $170 frame (20% discount) $10 $0 $56 $88 $100 $70 Step 3: Pick a Lens Upgraded to Std. Polycarbonate Added Tint $75 $40 $15 $194 $62 $25 Step 4: Total Cost $196 $539 See the Savings $343, or a 64% savings Cost for disposable contact lenses With EyeMed Step 1: Step 2: Step 3: Without Vision Coverage** Get an Eye Exam Fit and Follow-Up Purchase Contact Lenses Allowance Total Cost $10 $40 $200 $115 $135 $88 $74 $200 $0 $362 See the Savings $227, or a 63% savings **Based on industry averages. Retail prices and costs will vary by market and provider type. Premiums not included. Visit EyeMedVisionCare.com to learn more. Benefits are not provided for services or materials arising from: Orthoptic or vision training, subnormal vision aids and any associated supplemental testing; Aniseikonic lenses; Medical and/or surgical treatment of the eye, eyes or supporting structures; Any eye or Vision Examination, or any corrective eyewear required by a Policyholder as a condition of employment; safety eyewear; Services provided as a result of any Workers' Compensation law, or similar legislation, or required by any governmental agency or program whether federal, state or subdivisions thereof; Plano (non-prescription) lenses and/or contact lenses; Non-prescription sunglasses; Two pair of glasses in lieu of bifocals; Services or materials provided by any other group benefit plan providing vision care; Certain brand name Vision Materials in which the manufacturer imposes a no-discount policy; or Services rendered after the date an Insured Person ceases to be covered under the Policy, except when Vision Materials ordered before coverage ended are delivered, and the services rendered to the Insured Person are within 31 days from the date of such order. Lost or broken lenses, frames, glasses, or contact lenses will not be replaced except in the next Benefit Frequency when Vision Materials would next become available. Benefits may not be combined with any discount, promotional offering, or other group benefit plans. Standard/Premium Progressive Lens not covered - fund as a Bifocal Lens. Standard Progressive Lens covered - fund Premium Progressive as a Standard. MOE-01-0411 OEBC/A&H/0711
Mark Box To Waive Coverage Enrollment/Change Form Please print and complete all sections. See instructions below. Underwritten by Fidelity Security Life Insurance Company of Kansas City, Missouri EMPLOYER INFORMATION: To be Completed by Employer Group Number Employer Name Location Code Division Code Client Co Code Effective Date 9791609 Scott Contracting Inc EMPLOYEE INFORMATION A: Add (enroll) T: Terminate C: Change (change of name, address or phone) ADD TERM CHG Sex M F Member ID Last Name (Employee or subscriber) First Name M.I. Date of Birth Social Security Number Home Street Address City/State/Zip Home Phone ( ) FAMILY INFORMATION (Only those eligible may be enrolled.) A: Add (enroll) T: Terminate C: Change (change of name) A T C Sex M F Last Name (spouse) First Name M.I. Date of Birth Social Security Number A T C A T C A T C A T C Sex M F Sex M F Sex M F Sex M F Last Name (dependent) First Name M.I. Date of Birth Social Security Number Last Name (dependent) First Name M.I. Date of Birth Social Security Number Last Name (dependent) First Name M.I. Date of Birth Social Security Number Last Name (dependent) First Name M.I. Date of Birth Social Security Number Employee Signature: Date: Instructions: Employer name: Legal name of the employer. Group Number: Provided by EyeMed or EyeMed representative. Location code: Optional field for employers to track multiple locations. Effective date: Date set by employer in accordance with EyeMed proposal. Employer also sets effective date for new adds during contract period. Family Information: List only eligible family members who are enrolling. Dependent eligibility is the same as employer s health plan. (A) Add: Open (group) enrollment or new (individual) enrollment during the contract period. (T) Terminate: To terminate enrollment. (C) Change: A change of name, employee address or employee phone. Once you elect EyeMed vision coverage, you cannot cancel for a 12-month period based upon your enrollment date. Deductions are adjusted according to payroll frequency.
CO CITY OF AURORA CHILDRENS EYE PHYSICIANS 13123 EAST 16TH AVE 7207771234 AURORA, CO 80045 KIDS CHOICE VISION 15159 E COLFAX AVE UNIT B 3033415437 AURORA, CO 80011 CITY OF BRIGHTON 2171 PRAIRIE CENTER PKWY 3036559360 BRIGHTON, CO 80601 CITY OF BROOMFIELD MAY EYE CARE 400 WEST 144TH AVE STE 210 3034289696 BROOMFIELD, CO 80023 CITY OF COMMERCE CITY NORTH RANGE EYE CARE 13599 E 104TH AVE STE 400 7204998349 COMMERCE CITY, CO 80022 CITY OF DENVER ADVENTURE VISION OF DENVER 1407 W 84TH AVE STE 8 7202144746 DENVER, CO 80260 BEST IN SIGHT EYECARE CENTERS 101 W 84TH AVE STE 240 3034265550 DENVER, CO 80260 CLEAR VISION EYE CARE 12024 MELODY DR 3036572848 DENVER, CO 80234 NORTH PARK VISION CENTER PC 10359 FEDERAL BLVD STE 100 3034697770 DENVER, CO 80260 CITY OF NORTHGLENN ABOUT EYES OPTOMETRY LLC Adams County 10360 MELODY DR 3034525670 DENVER, CO 80260 PEARLE VISION 10669 MELODY DR 3034529312 DENVER, CO 80234 CITY OF THORNTON BRIGHT EYES VISION CLINIC 550 E THORNTON PKWY STE 222 3039203937 DENVER, CO 80229 COLORADO EYE CENTER OPTOMETRY10001 N WASHINGTON ST 3034518075 DENVER, CO 80229 COLORADO EYE CENTER OPTOMETRY12450 YORK ST 3034522020 DENVER, CO 80241 1281 E 120TH AVE 7209290329 DENVER, CO 80233 ONE HOUR OPTICAL 3867 E 120TH AVE 3034500200 DENVER, CO 80233 SEARS OPTICAL 16395 WASHINGTON ST 3034515021 BROOMFIELD, CO 80020 1001 E 120TH AVE 3032800971 DENVER, CO 80233 VISTA EYE CARE 13695 COLORADO BLVD 3034502020 BRIGHTON, CO 80602 CITY OF WESTMINSTER 14451 ORCHARD PKWY 3034510598 BROOMFIELD, CO 80020 WESTMINSTER EYE ASSOC 8787 TURNPIKE DR STE 150 3034271426 WESTMINSTER, CO 80031 CITY OF ALAMOSA 2101 MAIN ST STE D 7195892020 ALAMOSA, CO 81101 ROCKY MOUNTAIN EYE CENTER 2509 MAIN STREET 7195890825 ALAMOSA, CO 81101 CITY OF AURORA Alamosa County Arapahoe County 365 TELLURIDE 7208588866 AURORA, CO 80011 ADVANCED EYE CARE CENTER 1399 S HAVANA ST STE 101 3037507621 AURORA, CO 80012 ALL ABOUT EYECARE 15101 E ILIFF AVE STE 100 3033661235 AURORA, CO 80014 AURORA FAMILY VISION 2220 S FREASER ST UNIT 2 3037500990 AURORA, CO 80014 AURORA VISION CENTER 18511 E HAMPDEN AVE STE 214 3036906510 AURORA, CO 80013 BUCKLEY OPTICAL CENTER 18500 E SIXTH AVE 7208475613 AURORA, CO 80011 CENTENNIAL EYE ASSOC 15901 E BRIARWOOD CIRCLE STE 100 3036993107 AURORA, CO 80016 COLORADO CATARACT & LASER LLC1411 S POTOMAC ST STE 140 3033373937 AURORA, CO 80012 ECLIPSE VISION SOURCE 6750 S CORNERSTAR WAY STE E 3036931853 AURORA, CO 80016 EYE CARE PLUS 16728 E SMOKEY HILL RD STE 10B 3036998022 AURORA, CO 80015 HERO VISION OF AURORA 15121 E MISSISSIPPI AVE 3038021022 AURORA, CO 80012 Visit www.eyemed.com for current provider information. Page 1
JCPENNEY OPTICAL 14200 E ALAMEDA AVE 3033441272 AURORA, CO 80012 NEW VISIONS OD PC 7562 S UNIVERSITY BLVD 3037732020 LITTLETON, CO 80122 14200 E ALAMEDA AVE STE 2013 3033630724 AURORA, CO 80012 OPTICAL MATTERS 7539 S UNIVERSITY BLVD 3037307422 LITTLETON, CO 80122 6290 S MAIN ST STE 100 BLDG M 3037666899 AURORA, CO 80016 PEAK FAMILY EYE CARE 7000 S YOSEMITE ST STE 295 3039960436 ENGLEWOOD, CO 80112 6554 S PARKER RD STE 101 3036174563 AURORA, CO 80016 PEARLE VISION 2370 E ARAPAHOE RD STE 921 7202832020 LITTLETON, CO 80122 LOOK OPTICAL 2621 S PARKER RD 3037522662 AURORA, CO 80014 PRO VISION EYECARE 7500 S UNIVERSITY STE 104 7203898023 LITTLETON, CO 80122 LOOK OPTICAL 3130 S PARKER RD 3037522662 AURORA, CO 80014 SEARS OPTICAL 7001 S UNIVERSITY BLVD 3037305585 LITTLETON, CO 80122 ONE HOUR OPTICAL 1113 S ABILENE ST 3037559447 AURORA, CO 80012 OPTIK SHOPPE 750 POTOMAC ST 3033641548 AURORA, CO 80011 PEARLE VISION 14200 E ALAMEDA AVE STE 1029 3033442800 AURORA, CO 80012 PONDEROSA VISION CLINIC 14991 E HAMPDEN AVE STE 110 3036939561 AURORA, CO 80014 SEARS OPTICAL 14200 ALAMEDA AVE 3033604577 AURORA, CO 80012 SMOKY HILL EYE CARE 20921 E SMOKY HILL RD UNIT B 3039421370 AURORA, CO 80015 14200 E ELLSWORTH AVE 3032140117 AURORA, CO 80012 THE OPTICAL GALLERY 4252 S CHAMBERS RD 3036901696 AURORA, CO 80014 THE VISION CENTER IN WAL-MART 5650 S CHAMBERS RD 3036901521 AURORA, CO 80015 VISION CARE SPECIALISTS 13801 E YALE AVE STE 117 3037512020 AURORA, CO 80014 VISION CARE SPECIALISTS PC 1550 S POTOMAC STE 155 3033691020 AURORA, CO 80012 VISION FIRST EYE CARE 15320 E ALAMEDA PKWY 3037459400 AURORA, CO 80017 CITY OF CENTENNIAL BUCKEYE VISION CARE 7960 S UNIVERSITY BLVD STE 102 3037612345 LITTLETON, CO 80122 EYE CARE CONSULTANTS 8586 E ARAPAHOE RD STE 100 3037714221 ENGLEWOOD, CO 80112 SOUTHGLEN EYECARE PC 6650 S VINE ST STE 160 3037985533 LITTLETON, CO 80121 CITY OF DENVER 4301 E VIRGINIA AVE 3032090185 DENVER, CO 80246 CITY OF ENGLEWOOD ADVANCED EYECARE CENTERS 7447-6 E ARAPAHOE RD 3037708081 ENGLEWOOD, CO 80112 BROOKRIDGE EYECARE 5116 S BROADWAY 3037613285 ENGLEWOOD, CO 80113 CHILDRENS EYE PHYSICIANS 9094 E MINERAL AVE STE 200 3034569456 ENGLEWOOD, CO 80112 DOVE VALLEY VISION CENTER PC 15530 E BRONCOS PKWY STE 200 3037662020 ENGLEWOOD, CO 80112 DR LEON F MILLER OD 3333 S BANNOCK ST STE 625 3037892221 ENGLEWOOD, CO 80110 ENGLEWOOD EYECARE 850 ENGLEWOOD PKWY STE 100A 3037892221 ENGLEWOOD, CO 80110 EYE LOGIC 123 A W HAMPDEN AVE 3037897486 ENGLEWOOD, CO 80110 HIGHLAND FAMILY OPTICAL 9094 E MINERAL AVE STE 200 3037970882 ENGLEWOOD, CO 80112 JEFFREY SPAHR OD 3350 S BROADWAY 3037815152 ENGLEWOOD, CO 80110 3650 RIVERPOINT PARKWAY 3037619195 ENGLEWOOD, CO 80110 CITY OF GREENWOOD VILLAGE EUROPTICS INC 6010 SOUTH HOLLY STREET 3037219666 ENGLEWOOD, CO 80111 Visit www.eyemed.com for current provider information. Page 2
ONE HOUR OPTICAL 8547 E ARAPAHOE RD UNIT H 3037410446 ENGLEWOOD, CO 80112 VISION MASTERS 4920 SOUTH YOSEMITE UNIT C-5 3032205100 ENGLEWOOD, CO 80111 CITY OF LITTLETON BUTLER VISION CARE 7301 SANTA FE DR UNIT 245 3037069900 LITTLETON, CO 80120 EYETOPIA EYECARE 8089 S LINCOLN ST STE 103 3034712015 LITTLETON, CO 80122 SPECS APPEAL INC 2 W DRY CREEK CIR STE 230 3037987520 LITTLETON, CO 80120 WARREN L TAYLOR OD 3625 W BOWLES AVE STE 7 3037982020 LITTLETON, CO 80123 Archuleta County CITY OF PAGOSA SPRINGS 2800 CORNERSTONE DR STE A6 7192192419 PAGOSA SPRINGS, CO 81147 Boulder County CITY OF BOULDER BENTON BRITT OD 805 S BROADWAY STE 101 3034944449 BOULDER, CO 80305 BOULDER VISION ASSOCIATES PC 5305 SPINE RD STE B 3035302020 BOULDER, CO 80301 CHILDRENS EYE PHYSICIANS 2800 FOLSOM ST STE C 3034426260 BOULDER, CO 80304 COLLEGE OPTICAL 1350 COLLEGE AVE STE 100 3034443092 BOULDER, CO 80302 DR PAULA POSTMA PC 2995 BASELINE ROAD STE 102 3034432020 BOULDER, CO 80303 FREDRIC IAN 2648 BROADWAY 3039388646 BOULDER, CO 80304 GOOSE CREEK OPTICAL 2800 FOLSOM ST STE D 3034426266 BOULDER, CO 80304 1855 29TH ST 1E-1156 7205656969 BOULDER, CO 80301 PEARLE VISION 2795 PEARL ST STE 100 3034441211 BOULDER, CO 80302 VISIONS EYE CARE CENTER 1933 28TH ST STE 206 3034478470 BOULDER, CO 80301 CITY OF LAFAYETTE EYE CARE CENTER OF NORTHERN CO300 EXEMPLA CIR 120 3036658766 LAFAYETTE, CO 80026 INSIGHT LASIK 300 EXEMPLA CIR STE 120 7208806455 LAFAYETTE, CO 80026 CITY OF LONGMONT ADVENTURE VISION OF LONGMONT1739 N MAIN ST 3038346400 LONGMONT, CO 80501 EYE CARE CENTER OF NORTHERN CO1400 DRY CREEK DR 3037723300 LONGMONT, CO 80503 FRONT RANGE EYE PHYS & SURGEON205 S MAIN ST STE D 3037723611 LONGMONT, CO 80501 LONGMONT VISION CENTER 412 MAIN ST 3037761620 LONGMONT, CO 80501 ROCKY MOUNTAIN RETINA ASSOC 1330 VIVIAN ST 3039008507 LONGMONT, CO 80501 551 SOUTH HOVER RD 3036849658 LONGMONT, CO 80501 THE OPTICAL CENTRE INC 521 MAIN ST 3037726650 LONGMONT, CO 80501 THIRD AVENUE EYECARE 800 THIRD AVE 3037726140 LONGMONT, CO 80501 CITY OF LOUISVILLE COLORADO EYE CENTER OPTOMETRY1371 E HECLA DR STE C 3036667226 LOUISVILLE, CO 80027 DR EDWIN JEUNG OD PC 1044 S 88TH ST STE 109 3036660104 LOUISVILLE, CO 80027 CITY OF SUPERIOR 400 MARSHALL RD 3032090109 LOUISVILLE, CO 80027 Broomfield County CITY OF BROOMFIELD 3D VISION INC 5760 W 120TH STE 240 3034043937 BROOMFIELD, CO 80020 CHILDRENS EYE PHYSICIANS 469 STATE HIGHWAY 7 3034569456 BROOMFIELD, CO 80023 COLORADO EYE CENTER LLC 4 GARDEN CENTER 3034691941 BROOMFIELD, CO 80020 COLORADO VISION SPECIALISTS 1 W FLATIRON CROSSING DR STE 2052 7208876066 BROOMFIELD, CO 80021 WARREN TRIPP MD PC 2575 PEARL ST STE 1C 3034426260 BOULDER, CO 80302 Visit www.eyemed.com for current provider information. Page 3
EUROPTICS INC 265 E FLATIRON CROSSING DR 7205660300 BROOMFIELD, CO 80021 ELEVATED EYECARE PC 7305 E 29TH AVE 3032849889 DENVER, CO 80238 FRONT RANGE EYE ASSOICATES PC13605 XAVIER LANE STE G 3039511820 BROOMFIELD, CO 80023 EUROPTICS INC 100 FILLMORE ST 3033213000 DENVER, CO 80206 ONE W FLATIRON CIR STE 1104 7208879200 BROOMFIELD, CO 80021 EUROPTICS INC 2960 EAST 2ND AVE SUITE C 3033227507 DENVER, CO 80206 PEARLE VISION 1285 E FIRST AVE STE D 3034647627 BROOMFIELD, CO 80020 Chaffee County CITY OF SALIDA ROCKY MOUNTAIN EYE CENTER 515 EAST 1ST ST 7195393581 SALIDA, CO 81201 CITY OF DELTA MORRIS OPTICAL 531 MAIN ST 9708741104 DELTA, CO 81416 CITY OF DENVER ACCENT OPTICS INC Delta County Denver County 2795 S COLORADO BLVD 3037820470 DENVER, CO 80222 AMERICAN VISION CENTER 26 S BROADWAY 3037777990 DENVER, CO 80209 ASSOCIATED EYE CARE 8101 E LOWRY BLVD STE 110 3036710000 DENVER, CO 80230 BRIGHT EYES FAMILY VISION CLIN 2250 SOUTH MONACO PKWY 3034766233 DENVER, CO 80222 CENTRAL DENVER EYE CARE 1041 ACOMA ST 1ST FLOOR 7202552412 DENVER, CO 80204 CHERRY CREEK OPTICAL INC 4999 EAST KENTUCKY AVENUE SUITE 100 3036912233 DENVER, CO 80246 COLORADO EYE CENTER LLC 1485 S COLORADO BLVD SUITE 220 3038397878 DENVER, CO 80222 COLORADO OPHTHALMOLOGY ASSOC1666 S UNIVERSITY BLVD 3033201777 DENVER, CO 80210 COLORADO VISION CARE 5026 E HAMPDEN AVE 3037565900 DENVER, CO 80222 DAVID DRUCKER MD 1255 19TH ST STE 101 3032939311 DENVER, CO 80202 DOCTOR SPEX VISION CARE 6460 E YALE AVE STE A20 7203167739 DENVER, CO 80222 EYE VISION DOWNTOWN 910 16TH ST MALL AND CHAMPA STE 524 3035348811 DENVER, CO 80202 EYES OF THE WORLD 1033 S GAYLORD ST 3032825427 DENVER, CO 80209 EYES OF THE WORLD 2036 E 17TH AVE 3039934317 DENVER, CO 80206 GOLDEN EYE OPTICAL LLC 1035 A S FEDERAL BLVD 3039222311 DENVER, CO 80219 HIGHLANDS EYECARE 4500 W 38TH AVE SUITE 130 BLDG J 3034550888 DENVER, CO 80212 HINES SIGHT 2480 S DOWNING ST STE G30 3037773277 DENVER, CO 80210 ICON LASIK 3900 E MEXICO STE 102 7205241001 DENVER, CO 80210 ICON LASIK AND EYECARE 201 UNIVERSITY BLVD STE 102 7204078705 DENVER, CO 80206 INTERNATIONAL OPTIQUE 7800 E HAMPDEN AVE STE 51 3037559880 DENVER, CO 80231 LARRY D SUMNER OD 3400 E BAYAUD AVE STE 485 3033211606 DENVER, CO 80209 3000 E FIRST AVE 3033218331 DENVER, CO 80206 8370 NORTHFIELD BLVD STE 1795 3035740848 DENVER, CO 80238 LOOK OPTICAL 2010 S UNIVERSITY 3037780060 DENVER, CO 80210 LOOK OPTICAL 4804 N CHAMBERS RD 3035766655 DENVER, CO 80239 MARKS OPTICAL 345 S COLORADO BLVD 3033331632 DENVER, CO 80246 MARKS OPTICAL 970 S ONEIDA ST STE 11 3033949937 DENVER, CO 80224 MAXWELL PEGG OPHTHALMOLOGY PC950 E HARVARD AVE STE 380 3037441086 DENVER, CO 80210 Visit www.eyemed.com for current provider information. Page 4
MID-CONTINENT OPTOMETRY PLLC4809 ARGONNE ST 7203534972 DENVER, CO 80249 OAKLEY CHERRY CREEK 3000 E FIRST AVE STE 164 3033167707 DENVER, CO 80206 ONE HOUR OPTICAL 1685 S COLORADO BLVD UNIT O 3037576747 DENVER, CO 80222 OPTICAL MASTERS 820 SOUTH MONACO PARKWAY SUITE 2B 3033770752 DENVER, CO 80224 OPTIQUE OF DENVER 1580 BLAKE ST 3038443937 DENVER, CO 80202 PEEPERS OPTICAL 5075 LEETSDALE DR 3033332800 DENVER, CO 80246 SEE INC 2800 E 2ND AVE 3032001095 DENVER, CO 80206 STACK OPTICAL SERVICES 3865 E CHERRY CREEK NORTH DR 3033211578 DENVER, CO 80209 STANLEY D HANSON OD 850 E HARVARD AVE SUITE 205 3037778551 DENVER, CO 80210 STAPLETON FAMILY EYE CENTER 2373 CENTRAL PARK BLVD STE 102 3035971640 DENVER, CO 80238 7930 E 49TH ST 3033710055 DENVER, CO 80238 THE EYE CENTER 2480 S DOWNING ST STE 100 3037775455 DENVER, CO 80210 CITY OF CASTLE PINES CASTLE PINES EYECARE 250 MAX DR STE 101 3036885066 CASTLE ROCK, CO 80108 CITY OF CASTLE ROCK CASTEL ROCK EYE WEAR 856 HAPPY CANYON ROAD STE 110 3036632034 CASTLE ROCK, CO 80108 CASTLE ROCK VISION CLINIC 834-E S PERRY ST 3036880290 CASTLE ROCK, CO 80104 DR JAY PHILIPPE 201 S WILCOX STREET 3036600044 CASTLE ROCK, CO 80104 FOUNDERS PARKWAY VISION CENTER4344 WOODLANDS BLVD STE 160 3036883636 CASTLE ROCK, CO 80104 KERRY TYLER OD 409 S WILCOX ST 3036884044 CASTLE ROCK, CO 80104 PEARLE VISION CENTER 62 FOUNDERS PKWY STE E 3036881146 CASTLE ROCK, CO 80104 THE MEADOWS FAMILY EYE CARE 3750 DACORO LN STE 140 3036606005 Castle Rock, CO 80109 CITY OF HIGHLANDS RANCH EYE TO EYE CARE 9225 S BROADWAY UNIT A 3036834466 LITTLETON, CO 80129 HD EYECARE 8677 S QUEBEC STE A 3037942020 LITTLETON, CO 80130 HIGHLAND RANCH OPTICAL 9370 S COLORADO BLVD STE A4 3034719300 LITTLETON, CO 80126 UNITED EYE CENTERS INC 950 E HARVARD AVE STE 380 3037612020 DENVER, CO 80210 HIGHLANDS RANCH VISION CENTER8925 S RIDGELINE BLVD STE 107 3037912727 LITTLETON, CO 80129 UNIVERSITY HILLS EYE CENTERS 2741 S COLORADO BLVD 3037573311 DENVER, CO 80222 VISION CARE SPECIALISTS PC 1050 17TH ST 3032989410 DENVER, CO 80265 VISION CARE SPECIALISTS PC 2766 S WADSWORTH BLVD 3039352020 DENVER, CO 80227 VISION FIRST EYE CARE 200 QUEBEC ST BLDG 600A-STE 107 3033616600 DENVER, CO 80230 LOOCK PERFECT IMAGE EYECARE PC4008 RED CEDAR DR STE D1 3034712244 LITTLETON, CO 80126 PEARLE VISION 9325 DORCHESTER ST STE 124 3034715263 LITTLETON, CO 80129 1265 SGT JON STILES DR 3037911984 LITTLETON, CO 80129 THE VISION CENTER IN WAL-MART 6675 BUSINESS CTR DR 3036838133 LITTLETON, CO 80130 CITY OF AURORA Douglas County 7400 S GARTRELL RD 3032092830 AURORA, CO 80016 UNITED EYE CENTERS PC 9330 S UNIVERSITY BLVD STE 220 3033468400 LITTLETON, CO 80126 VISION CARE SPECIALISTS PC 200 W COUNTY LINE RD STE 150 3037942433 LITTLETON, CO 80129 Visit www.eyemed.com for current provider information. Page 5
CITY OF LONE TREE ADVANCED EYECARE CENTERS 9695 S YOSEMITE ST STE 100 3033373937 LONE TREE, CO 80124 ALAN J MARGOLIS MD PC 10099 RIDGE GATE PKWY STE 365 3037971150 LONE TREE, CO 80124 FRONT RANGE FAMILY EYECARE 9227 E LINCOLN STE 300 3038588474 LONE TREE, CO 80124 HELEN R WILSON OD PC 9220 KIMMER DR STE 140 3037540122 LONE TREE, CO 80124 JCPENNEY OPTICAL 8417 PARK MEADOWS 3039251861 LONE TREE, CO 80124 8405 PARK MEADOWS CTR DR STE 1000 3037061984 LITTLETON, CO 80124 OAKLEY PARK MEADOWS 8401 PARK MEADOWS CTR 3037922997 LONE TREE, CO 80124 PEARLE VISION CENTER 8441 S YOSEMITE STE 2 3037688721 LONE TREE, CO 80124 10001 COMMONS ST 3037996772 LONE TREE, CO 80124 CITY OF PARKER COLORADO CATARACT & LASER LLC9399 CROWN CREST BLVD STE 120 3033373937 PARKER, CO 80138 GLAUCOMA CONSULTANTS OF CO 11960 LIONESS WAY STE 190 3037971900 PARKER, CO 80134 GREAT VISION 9835 S PARKER RD 3038413937 PARKER, CO 80134 INNOVATIVE EYECARE INC 18741 E PONDEROSA DR STE D 3038404949 PARKER, CO 80134 PARKER OPTICAL LLC 10841 S CROSSROADS DR STE 12 3038412020 PARKER, CO 80134 PARKER VISION SPECIALIST PC 9235 CROWN CREST BLVD STE 150 3038406268 PARKER, CO 80138 PEARLE VISION 11211 S DRANSFELDT STE 125 3038402118 PARKER, CO 80134 11150 S TWENTY MILE RD 3038417607 PARKER, CO 80134 CITY OF BASALT BAUER EYECARE Eagle County 850 E VALLEY RD 9709272020 BASALT, CO 81621 CITY OF EAGLE EAGLE VALLEY VISION 313 CHAMBERS AVE UNIT C 9703283937 EAGLE, CO 81631 CITY OF EDWARDS VAIL VISION 1140 EDWARDS VILLAGE BLVD STE B 206 9709268474 EDWARDS, CO 81632 CITY OF CALHAN DR JAMES LEE El Paso County 560 CRYSTOLA ST 7192821211 CALHAN, CO 80808 CITY OF COLORADO SPRINGS 1030 E STEWART AVE STE 2017 7195745252 COLORADO SPRINGS, CO 80914 1130 LAKE PLAZA DR STE 130 7192193819 COLORADO SPRINGS, CO 80906 1813 N CIRCLE DR 7196322020 COLORADO SPRINGS, CO 80909 6110 MARTINEZ ST 7195765151 COLORADO SPRINGS, CO 80913 INC 4430 N NEVADA AVE 7196352020 COLORADO SPRINGS, CO 80907 INC 6220 WOODMEN PARK VIEW 7196342020 COLORADO SPRINGS, CO 80923 ACADEMY KIDS VISION 2436 S ACADEMY BLVD 7193912336 COLORADO SPRINGS, CO 80916 ACADEMY VISION SCIENCE CLINIC 5955 LEHMAN DR 7195986000 COLORADO SPRINGS, CO 80918 ACEDEMY KIDS VISION NORTH 4130 AUSTIN BLUFFS PKWY 7193045400 COLORADO SPRINGS, CO 80918 AKVC CENTRAL 883 N ACADEMY BLVD 7195761850 COLORADO SPRINGS, CO 80909 ALPINE VISION 4280 N ACADEMY BLVD 7195203333 COLORADO SPRINGS, CO 80918 AMERICAS BEST 1776 E WOODMEN RD 7193250223 COLORADO SPRINGS, CO 80920 ARCHDALE EYECARE PC 1541 S 8TH ST 7195774400 COLORADO SPRINGS, CO 80905 ARCHDALE OPTOMETRY CORPORATION7095 LEXINGTON DR 7196384010 COLORADO SPRINGS, CO 80918 BETTNER VISION INC 9205 N UNION BLVD STE 110 7192820400 COLORADO SPRINGS, CO 80920 Visit www.eyemed.com for current provider information. Page 6
BRIARGATE BLVD FAMILY VISION 1839 BRIARGATE BLVD 7195932333 COLORADO SPRINGS, CO 80920 GLENEAGLE VISION CENTER PC 15435 GLENEAGLE DR STE 110 7198848480 COLORADO SPRINGS, CO 80921 BRIGHT EYES VISION CLINIC 2360 SOUTH ACADEMY BLVD 7195423555 COLORADO SPRINGS, CO 80916 H RANDOLPH FRANK MD 6197 LEHMAN DR STE 101 7195949800 COLORADO SPRINGS, CO 80918 BROOKS OPTOMETRIC LLC 6799 BISMARK RD STE D 7195742020 COLORADO SPRINGS, CO 80922 I CARE PROFESSIONALS INC 4092 AUSTIN BLUFFS PKWY 7195901395 COLORADO SPRINGS, CO 80918 CHILDRENS EYE CENTER 4110 BRIARGATE PKWY STE 440 7195741654 COLORADO SPRINGS, CO 80920 IN SIGHT OPTICAL INC 12 E PIKES PEAK AVE 7195774366 COLORADO SPRINGS, CO 80903 CITADEL VISION 3510 GALLEY RD STE 101 7195974423 COLORADO SPRINGS, CO 80909 JCPENNEY OPTICAL 680 CITADEL DR EAST 7195910892 COLORADO SPRINGS, CO 80909 COLORADO EYE INSTITUTE 9320 GRAND CORDERA PARKWAY 7192581240 COLORADO SPRINGS, CO 80924 JOHN M CHRISTIANSEN MD PC 555 EAST PIKES PEAK STE 102 7196320264 COLORADO SPRINGS, CO 80903 COLORADO SPRINGS EYE CLINIC 2770 N UNION BLVD STE 200 7194734507 COLORADO SPRINGS, CO 80909 1710 BRIARGATE BLVD STE 485 7192668485 COLORADO SPRINGS, CO 80920 COLORADO SPRINGS HEALTH 1625 MEDICAL CENTER POINT STE 200 7196355148 COLORADO SPRINGS, CO 80907 3346 CINEMA POINT 7195488650 COLORADO SPRINGS, CO 80922 DR BENNETT 2020 1837 BRIARGATE BLVD 7195932333 COLORADO SPRINGS, CO 80920 750 CITADEL DR EAST STE 2300 7195910199 COLORADO SPRINGS, CO 80909 DR BRET W HARRISON 6140 TUTT BLVD STE 100 7192681010 COLORADO SPRINGS, CO 80923 MOUNTAIN SHADOWS VISION CTR 1910 VINDICATOR DRIVE STE 102 7195901744 COLORADO SPRINGS, CO 80919 DR JAMES LEE 2141 N ACADEMY CIR 7192821211 COLORADO SPRINGS, CO 80909 MOUNTAIN VIEW VISION 6071 E WOODMEN RD STE 205 7193806808 COLORADO SPRINGS, CO 80923 EAGLE EYE SOUTH 2750 S ACADEMY STE 130 7195918889 COLORADO SPRINGS, CO 80916 OPTICAL CENTER 1030 E STEWART AVE BLDG 2017 7195745252 COLORADO SPRINGS, CO 80914 EAGLE EYES NORTH 1955 DOMINIAN WAY STE 110 7195288148 COLORADO SPRINGS, CO 80918 OPTICAL CENTER 6110 MARTINEZ ST 7195765151 COLORADO SPRINGS, CO 80913 EDDINGTON EYECARE 6130 BARNES RD STE 128 7195504234 COLORADO SPRINGS, CO 80922 PEAK VISION CENTER 3155 N UNION BLVD 7196303937 COLORADO SPRINGS, CO 80907 ELITE VISION PC 3470 CENTENNIAL BOULEVARD SUITE 105 7194711107 COLORADO SPRINGS, CO 80907 EUROPTICS 1685 BRIARGATES PKWY 7194732020 COLORADO SPRINGS, CO 80920 EXECUTIVE PARK EYE CARE LLC 9240 EXPLORER DR STE 100 7195747000 COLORADO SPRINGS, CO 80920 EYECARE CTR OF COLORADO SPRING1805 E CHEYENNE MOUNTAIN BLVD 7195765844 COLORADO SPRINGS, CO 80906 EYEGLASS WORLD 353 N ACADEMY BLVD 7195743300 COLORADO SPRINGS, CO 80909 FRONT RANGE EYECARE 5474 TOMAH DR 7195982900 COLORADO SPRINGS, CO 80918 PETERSON FAMILY EYECARE 6665 DEL MONICO DR STE A 7195999393 COLORADO SPRINGS, CO 80919 PIKES PEAK EYECARE 710 N CIRCLE DR 7196321587 COLORADO SPRINGS, CO 80909 PINE CREEK VISION CLINIC 9475 BRIAR VILLAGE PT STE 200 7195942020 COLORADO SPRINGS, CO 80920 RIDGEVIEW OPTOMETRY 8540 SCARBOROUGH DR STE 240 7194955904 COLORADO SPRINGS, CO 80920 ROCKRIMMON VISION CLINIC 6005 DELMONICO DR STE 140 7195229393 COLORADO SPRINGS, CO 80919 RONALD E MCELVAIN OD 358 MAIN ST 7193912000 COLORADO SPRINGS, CO 80911 Visit www.eyemed.com for current provider information. Page 7
SEARS OPTICAL 1650 BRIARGATE BLVD 7195934848 COLORADO SPRINGS, CO 80920 SEARS OPTICAL 2050 SOUTHGATE RD 7195796198 COLORADO SPRINGS, CO 80906 CITY OF WALSENBURG ROCKY MOUNTAIN EYE CENTER Huerfano County 100 W 4TH STREET 7197384155 WALSENBURG, CO 81089 3810 BLOOMINGTON ST 7196221529 COLORADO SPRINGS, CO 80922 9670 PROMINENT PT 7194950856 COLORADO SPRINGS, CO 80924 Jefferson County CITY OF ARVADA ARVADA HEALTH CENTER OPTICAL7950 KIPLING ST STE 203 3034230338 ARVADA, CO 80005 THE VISION CENTER IN WAL-MART 8250 RAZORBACK RD 7192608065 COLORADO SPRINGS, CO 80920 ARVADA OPTOMETRIC CENTER PC 7913 ALLISON WAY STE 102 3034245282 ARVADA, CO 80005 YOUR CHILDS EYES 2857 E FOUNTAIN BLVD 7193291221 COLORADO SPRINGS, CO 80910 LOOK OPTICAL 8737 SHERIDAN BLVD 3034126570 ARVADA, CO 80003 CITY OF MONUMENT MONUMENT VISION CLINIC 1860 WOODMOOR DR STE 103 7194882042 MONUMENT, CO 80132 CITY OF PEYTON ARBAUGH AND REUTER PC 7642 MCLAUGHLIN RD 7194956611 PEYTON, CO 80831 FALCON FAMILY EYE CARE PC 7685 MCLAUGHLIN RD STE 130 7198864770 PEYTON, CO 80831 CITY OF U S A F ACADEMY OPTICAL CENTER BLDG 5136 COMMUNITY CENTER DR 7194720524 U S A F ACADEMY, CO 80840 CITY OF ELIZABETH KAT EYES INC Elbert County 210 ELIZABETH STREET STE B 3036468888 ELIZABETH, CO 80107 Fremont County CITY OF CANON CITY CLAFLIN EYE CARE 1924 FRANKLIN AVE 7192761660 CANON CITY, CO 81212 ROCKY MOUNTAIN EYE CENTER 1145 OHIO AVE 7192757481 CANON CITY, CO 81212 SKYLINE VISION CLINIC 2776 E MAIN ST 7192751523 CANON CITY, CO 81212 SOUTHERN COLORADO EYE ASSOC326 DOZIER 7192760344 CANON CITY, CO 81212 Gunnison County CITY OF GUNNISON 420 N MAIN ST 9706412020 GUNNISON, CO 81230 MILE HIGH EYE CARE 8850 W 58TH AVE STE 100 3034218990 ARVADA, CO 80002 PEAK FAMILY EYE CARE 12191 W 64TH AVE 3039963550 ARVADA, CO 80004 CITY OF BROOMFIELD 10442 TOWN CENTER DR SP 600 7208872963 BROOMFIELD, CO 80021 10445 REED ST 3034108478 BROOMFIELD, CO 80021 CITY OF CONIFER SIGHTLINES 26689 PLEASANT PARK RD STE 150 3038389355 CONIFER, CO 80433 CITY OF DENVER I CARE VISION CENTER 5560 W 44TH AVE 3034212424 DENVER, CO 80212 LOOK OPTICAL 5790 W 44TH AVE 3034214422 DENVER, CO 80212 CITY OF GOLDEN GOLDEN VISION CLINIC PC 2301 FORD STREET 3032782020 GOLDEN, CO 80401 TABLE MOUNTAIN VISION CLINIC 1409 WASHINGTON AVE 3032711400 GOLDEN, CO 80401 CITY OF LAKEWOOD ALL ABOUT KIDS VISION 2020 WADSWORTH BLVD 11 3034311221 LAKEWOOD, CO 80214 ALPINE VISION CENTER 8585 W 14TH AVE STE C 3032384357 DENVER, CO 80215 BEAR CREEK VISION CENTER 3190 SOUTH WADSWORTH BLVD STE 320 3039885858 DENVER, CO 80227 Visit www.eyemed.com for current provider information. Page 8
BRYAN VISION ASSOC 2525 S WADSWORTH BLVD STE 101 3039865983 DENVER, CO 80227 ADVANCED FAMILY EYECARE 11757 W KEN CARYL AVE UNIT L 3039044555 LITTLETON, CO 80127 COLORADO OPHTHALMOLOGY ASSOC11750 W 2ND PLACE STE 235 MEDICAL PLAZA 1 3039892023 DENVER, CO 80228 COLUMBINE EYECARE CENTER 1345 WADSWORTH BLVD 3032389900 DENVER, CO 80214 DENVER VISION 1535 S KIPLING PKWY UNIT C 3039378655 DENVER, CO 80232 DR SCOTTS OPTICAL OUTLET 2 98 WADSWORTH BLVD STE 122 3032376694 DENVER, CO 80226 DR THOMAS A POLITZER OD PC 333 S ALLISON PKWY STE 120 3039892020 DENVER, CO 80226 DRS MATOBA OPTOMETRISTS 200 UNION BLVD STE 415 3039882777 DENVER, CO 80228 EAGLE EYECARE 3355 S WADSWORTH BLVD STE G-123 3039690777 DENVER, CO 80227 EYECARE OF UNION SQUARE 390 UNION BLVD STE 240 3039850004 DENVER, CO 80228 FOOTHILLS VISION CENTER 12792 W ALAMEDA PKWY STE F 3039865565 DENVER, CO 80228 FOOTHILLS VISION CENTER 12810 W ALAMEDA PKWY STE B 3039865565 DENVER, CO 80228 AMERICAN VISION CENTER 8500 W BOWLES AVE SUITE 300 3039720717 LITTLETON, CO 80123 BELLEVIEW EYE ASSOCIATES INC 5104 S FIELD ST UNIT C 3039793937 LITTLETON, CO 80123 CHATFIELD EYE CARE 11852 SHAFFER DR BLDG M 3039330353 LITTLETON, CO 80127 COLUMBINE EYECARE CENTER 7335 S PIERCE ST 3039321919 LITTLETON, CO 80128 JCPENNEY OPTICAL 8501 WEST BOWLES 3039736481 LITTLETON, CO 80123 KEN-CARYL VISION 6179 S BALSAM WAY STE 130 3039731948 LITTLETON, CO 80123 8501 W BOWLES AVE STE 1B204 3039797595 LITTLETON, CO 80123 MARCIE GLASSNER OD 11550 W MEADOWS DR STE F 3039736333 LITTLETON, CO 80127 MEADOW VISION CENTER 9032 W KEN CARYL AVE UNIT A-5 3039734760 LITTLETON, CO 80128 PEARLE VISION 5132 SOUTH WADSWORTH BLVD STE 110 3039729731 LITTLETON, CO 80123 KIM C BROWN OD 13440 W ALAMEDA PKWY 3039851549 DENVER, CO 80228 SEARS OPTICAL 8501 W BOWLES AVE 3039726184 LITTLETON, CO 80123 14500 W COLFAX AVE STE 309 3032780577 GOLDEN, CO 80401 SOUTHWEST EYE SPECIALISTS 9046 W BOWLES AVE UNIT G 3039791518 LITTLETON, CO 80123 7151 W ALASKA DR 3039364117 DENVER, CO 80226 PEARLE VISION 7111 W ALAMEDA AVE STE L 3039340268 DENVER, CO 80226 SEARS OPTICAL 10785 W COLFAX AVENUE 3032356177 DENVER, CO 80215 14500 W COLFAX AVE 3032739953 GOLDEN, CO 80401 THE VISION CENTER IN WAL-MART 7455 W COLFAX 3032744465 LAKEWOOD, CO 80214 CITY OF LITTLETON A TO Z EYE CARE 9862 WEST BELLVIEW AVENUE 3039852020 LITTLETON, CO 80123 9390 W CROSS DR 7209221539 LITTLETON, CO 80123 CITY OF WESTMINSTER DAVID TRUMBO 9017 HARLAN ST 3034294052 WESTMINSTER, CO 80031 JCPENNEY OPTICAL 5453 W 88TH AVE 3036579952 WESTMINSTER, CO 80031 PEARLE VISION 5700 W 88TH AVE 3036506006 WESTMINSTER, CO 80031 THE VISION CENTER IN WAL-MART 9499 SHERIDAN BLVD 3034270872 WESTMINSTER, CO 80031 CITY OF WHEAT RIDGE BRIGHT EYES FAMILY VISION 5385 W 38TH 3034766292 DENVER, CO 80212 Visit www.eyemed.com for current provider information. Page 9
CHILDRENS EYE PHYSICIANS 4875 WARD RD STE 600 3034569456 WHEAT RIDGE, CO 80033 COLORADO VISION CTR FT COLLINS2001 S SHIELDS ST BLDG J1 9702060100 FORT COLLINS, CO 80526 HERITAGE VISION CLINIC 6280 W 38TH AVE 3034318887 WHEAT RIDGE, CO 80033 DR RON BATEMAN AND ASSOCIATES373 W DRAKE RD STE 3 9702237150 FORT COLLINS, CO 80526 NANCY A HOULDER MD 3550 LUTHERAN PKWY STE 102A 3034634634 WHEAT RIDGE, CO 80033 EDGE OPTICS LLC 706 S COLLEGE AVE STE 101 9706822627 FORT COLLINS, CO 80524 NANCY A HOULDER MD 3555 LUTHERAN PKWY STE 120 3034634634 WHEAT RIDGE, CO 80033 EYE & LASER CTR FORT COLLINS 2121 E HARMONY RD STE 190 9702242020 FORT COLLINS, CO 80528 NORTHWEST EYE CENTER PC 4855 WARD RD STE 500 3034670500 WHEAT RIDGE, CO 80033 EYE CARE FOR YOU LLC 4050 TIMBERLINE RD UNIT 120 9702828888 FORT COLLINS, CO 80525 5071 KIPLING ST 3034210433 WHEAT RIDGE, CO 80033 HARMONY EYE CARE CTR 181 WEST BOARDWALK STE 201 9702260959 FORT COLLINS, CO 80525 THE VISION CENTER IN WAL-MART 3600 YOUNGFIELD ST 3034234814 WHEAT RIDGE, CO 80033 MATTHEW J SKRDLA OD 712 WHALERS WAY STE A 210 9702827739 FORT COLLINS, CO 80525 THOMAS G BROOKES OD 4485 WADSWORTH STE 208 3034227068 WHEAT RIDGE, CO 80033 MTN VIEW EYE SPECIALISTS 2111 CUSTER DR 9702249880 FORT COLLINS, CO 80525 CITY OF DURANGO ENVISION DURANGO La Plata County 2855 N MAIN ST STE A103 9703828790 DURANGO, CO 81301 PEARLE VISION 238 E HARMONY RD STE D16 9702661243 FORT COLLINS, CO 80525 ROBERT J LARSON OPTOMETRIST 2001 S SHIELDS ST BLDG B STE 3 9702211931 FORT COLLINS, CO 80526 EYE CARE MANAGEMENT 765 E COLLEGE DR STE 1 9703854599 DURANGO, CO 81301 ROCKY MOUNTAIN FAMILY VISION 2105 BIGHORN DR STE 104 9703770005 FORT COLLINS, CO 80525 Larimer County CITY OF BERTHOUD BERTHOUND VISION CENTER 1211 LAKE AVE STE 102 9705325605 BERTHOUD, CO 80513 CITY OF ESTES PARK ASPEN EYE CENTER 600 S SAINT VRAIN STE 5 9705864418 ESTES PARK, CO 80517 CITY OF FORT COLLINS 20 20 VISION CENTER 3501 S SHIELD ST 9704902020 FORT COLLINS, CO 80526 ABSOLUTE VISION 1015 SOUTH TAFT HILL RD 9704826034 FORT COLLINS, CO 80521 ADVANCED EYECARE 162 S COLLEGE AVE 9704988388 FORT COLLINS, CO 80524 BRIGHTER FUTURE VISION CLINIC 375 E HORSETOOTH RD BLDG 5 STE 201 9703773111 FORT COLLINS, CO 80525 COLORADO OPTOMETRY 4020 S COLLEGE AVE 9702044020 FORT COLLINS, CO 80525 SCOTT A HAUGEN OD 645 S WHITCOMB 9702210808 FORT COLLINS, CO 80521 2936 COUNCIL TREE AVE 9702232393 FORT COLLINS, CO 80528 VILLAGE OPTICAL 4103 BOARDWALK STE 100 9702230595 FORT COLLINS, CO 80525 VISION EYELAND 1820 S COLLEGE AVE 9704936360 FORT COLLINS, CO 80525 CITY OF LOVELAND 20/20 OPTICAL & EYE CARE 2020 BLUE MESA CT 9706634800 LOVELAND, CO 80538 ASSOCIATES IN FAMILY EYECARE 2249 W EISENHOWER BLVD 9706694587 LOVELAND, CO 80537 CHILDRENS EYE PHYSICIANS 3650 E 15TH ST 9706691107 LOVELAND, CO 80538 DR ROGER A HULME OD PC 2677 N TAFT AVE 9706675511 LOVELAND, CO 80538 DRS LEE & LEE OPTOMETRISTS PC 2004 W 15TH ST STE 2 9706692040 LOVELAND, CO 80538 Visit www.eyemed.com for current provider information. Page 10
EISENHOWER EYECARE 1524 W EISENHOWER BLVD STE C 9706672954 LOVELAND, CO 80537 HORIZON VISION CENTER 2737 CROSSROADS BOULEVARD 9702433584 GRAND JUNCTION, CO 81506 ICON LASIK 3553 CLYDESDALE BLVD STE 104 9706690691 LOVELAND, CO 80538 ICON LASIK 120 WEST PARK DR STE 108 7205241001 GRAND JUNCTION, CO 81505 KIRK EYE CENTER 3650 E 15TH ST 9706691107 LOVELAND, CO 80538 PEARLE VISION 2424 HWY 6 AND 50 STE 402 9702425412 GRAND JUNCTION, CO 81505 5943 SKY POND DR STE E100 9706670123 LOVELAND, CO 80538 SEARS OPTICAL 2424 HIGHWAY 6 AND 50 9702416078 GRAND JUNCTION, CO 81505 PREMIER FAMILY EYECARE 1123 EAGLE DR 9706220646 LOVELAND, CO 80537 THE OPTICAL CENTER INC 1316 NORTH AVE 9702456821 GRAND JUNCTION, CO 81501 VAN'S EYECARE 1209 W EISENHOWER BLVD 9706673445 LOVELAND, CO 80537 CITY OF WELLINGTON EKLUND OPTOMETRIC GROUP 8251 WELLINGTON BLVD 9705687161 WELLINGTON, CO 80549 Las Animas County CITY OF TRINIDAD ROCKY MOUNTAIN EYE CENTER 2120 FREEDOM RD 7198469236 TRINIDAD, CO 81082 CITY OF HUGO DR JAMES LEE 111 SIXTH ST 7192821211 HUGO, CO 80821 CITY OF LIMON COLORADO EYE ASSOCIATES 269 EAST AVE 7197752831 LIMON, CO 80828 Logan County CITY OF STERLING CREATIVE EYEWORKS 100 BROADWAY ST STE 26 9705225294 STERLING, CO 80751 KIMS FASHION EYEWEAR LLC 502 W MAIN ST 9705227819 STERLING, CO 80751 THE VISION CENTER IN WAL-MART 1510 W MAIN 9705229192 STERLING, CO 80751 Mesa County CITY OF FRUITA VISUALEYES EYECARE PC 332 E ASPEN ST STE 100 9708582020 FRUITA, CO 81521 CITY OF GRAND JUNCTION FAIRMOUNT EYE CARE Lincoln County 3150 N 12TH ST 9702634525 GRAND JUNCTION, CO 81506 Montrose County CITY OF MONTROSE VISTA VISION FAMILY EYE CARE 2770 WOODGATE RD 9702492330 MONTROSE, CO 81401 CITY OF LA JUNTA 314 COLORADO AVE 7193842020 LA JUNTA, CO 81050 H RANDOLPH FRANK MD 1100 CARSON 7193836378 LA JUNTA, CO 81050 ROCKY MOUNTAIN EYE CENTER 102 SANTE FE AVE 7193848719 LA JUNTA, CO 81050 CITY OF ROCKY FORD FAMILY EYE CENTER 305 S MAIN ST 7192547404 ROCKY FORD, CO 81067 CITY OF HOLYOKE HOLYOKE EYECARE 111 W EMERSON ST 9708544303 HOLYOKE, CO 80734 CITY OF LAMAR Otero County Phillips County Prowers County 1500 S MAIN ST 7193360417 LAMAR, CO 81052 GAILA J AUSTIN OD PC 206 S FORTH ST 7193363969 LAMAR, CO 81052 Pueblo County CITY OF COLORADO CITY VALLEY EYECARE 4491 BENT BROTHERS BLVD PO BOX 19366 7196763937 COLORADO CITY, CO 81019 Visit www.eyemed.com for current provider information. Page 11
CITY OF PUEBLO 900 W NORTHERN AVE. 7195422222 PUEBLO, CO 81004 CITY OF ERIE ERIE FAMILY EYECARE 71 ERIE PKWY UNIT 105 3038289877 ERIE, CO 80516 INC 1650 W US HWY 50 7195421222 PUEBLO, CO 81008 DR VICTORIA PETERS & ASSOCIATE1700 W HWY 50 7194045000 PUEBLO, CO 81008 FAMILY EYE CENTER 712 FORTINO BLVD 7195420236 PUEBLO, CO 81008 JCPENNEY OPTICAL 3301 DILLON DR 7195446424 PUEBLO, CO 81008 ROCKY MOUNTAIN EYE CENTER 27 MONTEBELLO RD 7195451530 PUEBLO, CO 81001 ROCKY MOUNTAIN EYE CENTER 3954 SANDALWOOD LN 7195612244 PUEBLO, CO 81005 SOUTHERN CO EYECARE ASSOCIATES1620 FORTINO BLVD 7195423555 PUEBLO, CO 81008 SOUTHERN COLORADO EYE CARE 50 E HAHNS PEAK AVE UNIT C 7195821525 PUEBLO, CO 81007 Rio Grande County CITY OF MONTE VISTA DAVID N HINKLEY OD 37 WASHINGTON ST 7198523442 MONTE VISTA, CO 81144 Routt County CITY OF STEAMBOAT SPRINGS STEAMBOAT VISION CLINIC 130 N 9TH ST 9708794266 STEAMBOAT SPRINGS, CO 80477 Summit County CITY OF DILLON LAKE DILLON EYE CARE 325 LAKE DILLON DR STE 104 9704680389 DILLON, CO 80435 Teller County CITY OF WOODLAND PARK DR JAMES LEE 16420 W US HIGHWAY 24 7192821211 WOODLAND PARK, CO 80863 Weld County CITY OF EATON EATON VISION CLINIC LLC 215 ELM AVE 9704543387 EATON, CO 80615 SUMMIT VISION CARE INC 615 MITCHELL WAY STE 103 3038281512 ERIE, CO 80516 CITY OF FORT LUPTON FORT LUPTONVISION CENTER PC 301 DENVER AVE 3038576550 FORT LUPTON, CO 80621 CITY OF GREELEY ACHZIGER VISION CENTER 1713 61ST AVE STE 101 9703399855 GREELEY, CO 80634 ADVENTURE VISION OF GREELEY 3485 C WEST 10TH ST 9703534746 GREELEY, CO 80634 APEX VISION AND WELLNESS 1815 65TH AVENUE SUITE 3 9703307200 GREELEY, CO 80634 DRS LEE & LEE OPTOMETRISTS PC 3545 W 12TH ST 9703564020 GREELEY, CO 80634 PARKVIEW FAMILY EYECARE CENTER3545 W 12TH ST STE 101 9703524200 GREELEY, CO 80634 PEARLE VISION 1940 GREELEY MALL AVE 9703516011 GREELEY, CO 80631 SEE LIFE FAMILY VISION CENTER 2867 35TH AVE STE A 9703461411 GREELEY, CO 80634 TERESA BEER OD 1770 25TH AVE STE 202 9703518200 GREELEY, CO 80634 VISION CLINIC GREELEY PC 2001 46TH AVE 9703307070 GREELEY, CO 80634 CITY OF JOHNSTOWN PRECISION FAMILY EYECARE PC 257 JOHNSTOWN CENTER DRIVE STE 107 9705870827 JOHNSTOWN, CO 80534 CITY OF WINDSOR ALPINE VISION 1550 MAIN ST STE 148 9704600220 WINDSOR, CO 80550 VISION REVISION 1292 MAIN ST #3 9706866066 WINDSOR, CO 80550 WINDSOR EYE CARE & VISION CTR 515 MAIN STREET 9704600154 WINDSOR, CO 80550 Visit www.eyemed.com for current provider information. Page 12