Payment Page – Eye Surgery Center of Westchester

If you have made a payment via the online web portal, you may request a refund to your credit card for the following reasons.

Customer transaction error
- Incorrect amount
- Paying the wrong provider
- Wrong credit card used
Duplicate payment

Make a Payment

At Eye Surgery Center of Westchester, we strive to make our patient’s experience as easy and convenient as possible.

Name

First

Last

Payment Amount

Minimum Price: $10.00

Account Number

Date of Service

Additional Information

Name

First

Last

Address

Address Line 1

City

State

Zip Code

Information Information Information

Phone

Authorize.Net

Card Number

Expiration

Security Code