2015 - 2016 FOA Officers
Kenneth W. Lawson, O.D.
April L. Jasper, O.D., F.A.A.O.
Tad R. Kosanovich, O.D.
Denise Burns-LeGros, O.D., F.A.A.O.
Chairman of the Board
Barry J. Frauens, O.D., F.A.A.O.
Bryan Stam, O.D.
Michelle Levin, O.D.
Adam Stelzer, O.D.
Katie Gilbert Spear, O.D., M.P.H.
NSU Board Liaison
David S. Loshin, O.D., Ph.D., F.A.A.O.
Watch the video invitation below for FOA's 2016 Annual Convention.
Greetings fellow FOA Members,
It is hard to believe how quickly time passes and that yet another year has almost come to an end. Due to hard work and dedication, your FOA continues to thrive and evolve in its ability to confront many existing and developing challenges to Florida optometry and the patients we serve. Our current challenges are many and include among them: implementation of ICD-10 Meaningful Use, Vision Insurance Reform, optometrists’ access to insurance panels, and 1-800 Contacts' efforts with regard to contact lens prescription and sales abuse. Challenges developing on the horizon include additional threats to our patients’ safety such as refracting by opticians, online refractions, and the appropriate use of telemedicine. Many of you have heard me state that in this new “Millennial” era it seems like “just about everyone has decided to play optometrist” and that, sadly, patient safety has taken a back seat to profitability. I believe a prime example of putting profits before patients is the business model launched by Opternative. For those of you that have not yet familiarized yourself with this business entity, here is a brief overview:
Opternative offers an online “eye exam refraction” that for $40.00 yields an eyeglass prescription and for $60.00 yields prescriptions for both eyeglasses and contact lens; all prescriptions are signed by an ophthalmologist.
The Opternative technology is listed as a FDA Class 1 medical device and relies on the patient’s combined use of a computer and a smart phone to self-administer the test. The test takes 30-40 minutes and involves measuring your foot length etc. etc…..
FYI- the FDA has a loophole that allows certain Class 1 medical devices to launch without full FDA investigation or trial IF the entity simply registers the device with the FDA. (This is permitted in spite of the fact that spectacle lenses and contact lenses are Class 2 and Class 3 medical devices……. I would LOL here except it’s all not really that funny in terms of patient safety.)
AND the AAO (American Academy of Ophthalmology) not only supports the Opternative technology, but has issued a warning to optometry that the AAO will vehemently oppose any legislative efforts by optometry which attempt to prohibit or restrict this technology and the patient care model used by Opternative.
Last but not least, the co-founder of Opternative and its “eye exam refraction” is Stephen Lee, OD, who settled allegations earlier this year that he willfully misappropriated copyrighted NBEO test questions to prepare a study guide (that he sold of course) to help candidates maximize their chances of passing portions of the NBEO examination.
I certainly hope you continue to see the value in FOA membership. I ask that you help us continue to grow and thrive in protecting our patients from future threats to their eye health safety. Recruit a new FOA member today and please continue to contribute to OD-EYEPAC.
Kenneth W. Lawson OD - FOA President
EXECUTIVE DIRECTOR'S REPORT
As 2015 draws to a close, I am proud to look back on a very successful year for the FOA.
The 2015 annual convention, “Speakeasy Soiree” at the Breakers, was one of the best in FOA history with record-breaking support from industry sponsors. The convention was such a great place to be that we had a surprise visitor, Governor Rick Scott.
Year to date the FOA has a net gain of 67 members, and we are working diligently to grow this number. PAC contributions have also increased, but we always need more contributions to fight the battles at the Capitol.
The year began with some new staff who performed stellar work for the office and the membership. We have streamlined office processes to improve efficiency and respond to members more quickly. We selected a new association management software program and are now in the implementation phase. You will see the results of this new program next month.
I close by thanking you for the opportunity to serve as your executive director. It has been an honor and privilege to work for you. I wish all of you a happy and healthy holiday season as we look forward to an even better 2016.
MEMBERSHIP DEVELOPMENT COMMITTEE REPORT
The FOA has recently embarked on an ambitious mission to increase our membership, and we need your help. We are reaching out to non-members in an effort to better inform them of the benefits of FOA membership. Below is an excerpt from a recent letter sent to non-members. We asked some of your colleagues to share their thoughts and feelings about being members of the FOA and doing their part to shape our future. Here is just a small sample of what is being said:
"When we graduated from optometry school, we took an oath. Part of that oath was about service. To me service encompasses patients, community, and my fellow optometrists. As a member of the FOA, I am able to serve in all of these areas. Furthermore, the benefits of being an FOA member have allowed me network, meet other optometrists, and develop relationships with others who are integral to our profession. Ultimately these benefits have made being an FOA member an investment in the profession I love and want to protect.” John Womack, OD Jacksonville, Florida
Remember, it is the members that decide the course of optometry. We must continue to grow our numbers and present a unified voice. Join us, and help us, continue to protect our patients. Become a member of the FOA today. If you are already a member please actively recruit and build up our team. Go to Join.floridaeyes.org to learn more.
Adam Stelzer, O.D.
Membership Committee Director
The great thing about the profession of optometry, like some other facets of medical care, is that no one person can dictate the way in which it is practiced. The only thing limiting optometry is the written law as stated in Chapter 463 of the Florida Legislature. Not even the mode in which an OD practices; be it private, commercial, or a multi-disciplined approach matters.
The Florida Optometric Association, even in its earliest years, knew that independence was the key to maintaining good patient care. This is the reason why every year when groups and special interests try to change or eliminate the practice of optometry act, we must stand together to defend its principles. Make no mistake, it’s not just organized medicine that wants to change our methodology, there are also regulators that feel a change would simplify their lives as well.
It is these principles that allow those in a commercial setting to set their own schedule and see patients in the environment necessary to maintain safety and productiveness. Patient visits can take as long or as short as you, the doctor needs or wants them. There are times when we, in the commercial optometry setting can lose sight of this fact.
The FOA has resources that can help you determine what does and does not fall under chapter 463. The FOA cannot write or review leases, but there is a legal team that offers free consultations and can answer many of these pressing questions. Members of the Board of Trustees are also always willing to answer any questions and or concerns that there may be on this matter.
If you are not a member of the FOA, consider joining and receive the benefits membership offers.
The biggest benefit is the advocacy the association performs every legislative session in the defense of our greatest professional attribute, the ability to freely practice how and as we choose. Even if every goal that the association shoots for doesn’t seem to benefit your practice directly, the defensive wall around our practice act affects us all. Go to join.floridaeyes.org
Bryan Stam, O.D.
The next regular session of the Florida Legislature convenes on January 12, 2016. A number of bills have already been heard and voted on in pre-session committee meetings. Luckily for us, our Vision Insurance Reform Bill, SB 340 by Senator Latvala/ HB 377 by Representative Peters, is an example of one such bill. SB 340/ HB 377 passed its first committee stop in the Senate by a unanimous 10-0 vote.
SB 340/ HB 377 address three primary issues of interest to optometry and would prohibit an insurer from:
1. mandating that a provider must use a specific optical lab;
2. mandating that a provider must first join a vision plan owned by one insurer to be credentialed to participate on a medical plan owned by a different insurer; and
3. failing to update its provider panel list within 30 days of a provider joining or leaving an insurer.
If you haven’t done so already, please take a moment to thank our bill sponsors for their efforts in moving this bill forward. If you have not read SB 340/ HB 377, I encourage you to take a moment to read the excerpt below:
SB 340/HB 377
A bill to be entitled
An act relating to vision care plans; amending ss. 627.6474, 636.035, and 641.315, F.S.; providing that a health insurer, a prepaid limited health service organization, and a health maintenance organization, respectively, may not require a licensed ophthalmologist or optometrist to join a network solely for the purpose of credentialing the licensee for another vision network; providing that such insurers and organizations are not prevented by the act from entering into a contract with another vision care plan; providing that such insurers and organizations may not restrict a licensed ophthalmologist, optometrist, or optician to specific suppliers of materials or optical laboratories; providing that such insurers and organizations are not restricted by the act in determining certain amounts of coverage or reimbursement; requiring such insurers' and organizations' online vision care network provider directories to be updated monthly; providing that a violation of certain prohibitions in the act constitutes a specified unfair insurance trade practice; providing an effective date July 1, 2016.
Kenneth W. Lawson OD – FOA Legislative Chair
EYE ON THIRD PARTY ADVOCACY
The health care industry is evolving so rapidly that it's important for optometry to regularly look at the big picture and ensure that our participation is appropriate for our doctors and their patients. We had a chance to do exactly that recently at AOA's Third Party Committee and State Government Relations Committee's joint meeting. The following information is intended to provide a summary.
From the health care industry's perspective the paradox of the US health care system is we have increasing cost while services are varied in quality, standards, and benchmarks, with overuse and preventable treatment errors. The sellers of health care, the third party payers, are looking for value-based providers that are competitive in the market. Reimbursements to providers will shift from fee-for-service to either the episodic type of payment or global type of payment. From the payer’s perspective, fee-for-service rewards quantity over quality, is often fragmented, and has minimal coordination of care. Episodic payments are a fixed rate shared among providers for a specific episode of care. Global payment is a fixed rate that buys comprehensive care over a period of time. Both the episodic payment and global payment shift more of the risk to the provider.
The Centers for Medicare and Medicaid Services are testing some care delivery models to improve quality. They include Accountable Care Organizations (ACOs) and transformations like the Patient Center Medical Home (PCMH), and bundled payments and community-based care as a way of organizing primary care that emphasizes care coordination and communication.
The CMS Innovation Center Initiative under the Affordable Care Act (ACA) currently has 48 studies on bundled payments for episodic care, most notably diabetes, and has recently formed workgroups to study cataracts, glaucoma and macular degeneration. According to CMS, the concept of an ACO is for groups of providers and hospitals to share in the risk of giving high quality care that is appropriate and timely, especially for the chronically ill. Current forms of ACOs include the Medicare Shared Savings Program (MSSP), Advanced Payment ACO Model, and the Pioneer ACO Model. The goal is to bring stability by strengthening the relationship between the beneficiary and physician, setting target benchmarks, and eliminating the 'penalty-only' quality scoring of providers and provide financial rewards for improving quality of care. For example, only 92 of the 333 MSSP ACOs will receive payments for their success by sharing $341 million in 2014. However, with this model savings may be hard to achieve in some communities where the cost of care is already well below national averages.
In order to empower consumers of health care services and inform third party payers, CMS will be posting a Physician Comparative Billing Report which has been contracted for development by eGlobalTech. Some of you may have received a letter from CMS outlining the project . It is designed to allow people to make informed choices about their health care by being able to compare individual physicians and group practices and how they relate to their peers. For qualification in Physician Compare, the physician or other health care professional needs to have current and approved status PECOS records, valid physical location, valid specialty identified, have a National Provider Identifier (NPI), have submitted a Medicare fee-for-service claim within the past year, and group practices must have at least two professionals reassigning their benefits to the group.
The AOA Clinical Practice Guidelines will help empower optometrists to score well in the new comparative environment. For optometrists to be successful they should research for opportunities in their area, get in on the ground floor, have electronic medical records and always promote optometry's role as preeminent primary care providers. Also, research the managed care companies bidding on state contracts and their ownership. Volunteering to attend where these companies meet provides networking opportunities with medical directors and CEOs.
If you have concluded that even the health care industry does not know how or what the delivery systems of the future will look like, you are correct. What is known is there will be winners and losers in a system where providers compete on quality and cost of care delivery. Your state and national third party committees will continue to bring timely, accurate information so you can make the best decisions for your practice.
Tad Kosanovich, O.D.
Third Party Committee Chair
Immunity for Volunteer Optometric Services
The Florida Legislature has enacted the “Access to Health Care Act” to improve access to medical care for indigent Florida residents by providing government protection to health care providers who offer free quality medical services to undeserved populations of Florida. The provisions of the Act are found at section 766.1115, Florida Statutes, and are administered by the Florida Department of Health which has established a volunteer health services program.
Under this program, a Florida licensed optometrist can be designated as an agent of the State of Florida and can enjoy sovereign immunity when providing uncompensated services to a person who is Medicaid-eligible under Florida law, who is without health insurance and whose family income does not exceed 200% of the federal poverty level, or who is a client of the Department of Health and meets Department program eligibility requirements. To be designated as an agent of the State of Florida and entitled to sovereign immunity, the optometrists must comply with the following program requirements adopted by the Department of Health:
- A current valid Florida license to practice optometry which is not under any obligations, probation, or restrictions.
- Sign a Volunteer Health Care Provider Program contract with a governmental contractor. [A governmental contractor is defined by the Act as the Department of Health, county health departments, a special taxing district with health care responsibilities, or a hospital owned and operated by a governmental entity.]
- Submit to a credential verification process to determine acceptability of participation.
- Participate in a quality assurance program as delineated by the governmental contractor.
- Accept for treatment only patients who have been qualified as eligible and who have a completed referral form.
- The optometrist shall not subcontract for the provision of such services.
An optometrist participating in the Department program is deemed to be an agent of the State of Florida, while acting within the scope of the duties of his or her contract with the governmental contractor, and may not be named a defendant in any action arising out of medical care or treatment under the contract.
The Act also provides that a nonprofit corporation which is exempt from federal income taxation and which delivers health care services through Florida licensed health care professionals is also eligible to participate as a provider in the Department’s program. The Department maintains an online listing of volunteer nonprofit corporations which have qualified to participate as providers in the Department’s program. The online listing identifies the qualified providers by city and by county.
An optometrist who has been asked to participate as a volunteer provider on behalf of a nonprofit corporation should access the Department’s online listing to verify the status of the nonprofit corporation as a qualified provider under the Department’s volunteer program. If the nonprofit corporation is not a qualified provider, the optometrist will not be considered an agent of the State of Florida and will not be entitled to sovereign immunity when providing health care services for the nonprofit corporation.
Additional information concerning the Department program can be obtained by contacting the Department at:
Volunteer Health Services
4052 Bald Cypress Way
Tallahassee, Florida 32399-1701
Telephone Inquiries of FOA’s General Counsel
As a membership benefit, FOA members in good standing are provided the opportunity to speak on the telephone with FOA’s General Counsel on matters relevant to the member’s optometric practice. The telephone conversation is generally limited to 10-15 minutes. While the identity of the caller and the details discussed are not disclosed to third parties, the member is required to identify himself/herself at the beginning of the call so that FOA membership in good standing can be verified. Calls on behalf of the member from family and staff will not be accepted.
Topics that will be discussed with the member are limited to matters directly related to the member’s optometric practice. A representative sample of commonly discussed topics include:
- Copying, retention, and destruction of patient records;
- Provisions, including non-compete clauses, in proposed employment agreements and office leases;
- Obligations to patients upon relocating or closing an office location;
- Procedures to be followed to terminate a doctor-patient relationship;
- Delegating tasks to support personnel;
- Obligations when treating hearing impaired individuals;
- Application of employment laws to office staff; and
- Validity and release of spectacle and contact lens prescriptions.
Matters of a personal, non-professional, nature such as family law issues and pending criminal charges are not within the scope of this membership benefit. Generic advice will be provided on the license disciplinary process. However, advice specific to a member’s case will not be given when license disciplinary proceedings are pending.
JANUARY 14-16, 2016
AOA PRRESIDENTS' COUNCIL
JANUARY 29, 2016
LIDO BEACH RESORT
JANUARY 30-31, 2016
LIDO BEACH RESORT
FEBRUARY 9, 2016
FEBRUARY 19-21, 2016
WINTER SEMINAR HOSTED BY PBCOA
HILTON WEST PALM BEACH
WEST PALM BEACH, FL
FEBRUARY 24-28, 2016
APRIL 2-3, 2016
MIAMI NICE SPONSORED BY MDOPA
(MIAMI DADE OPTOMETRIC PHYSICIANS ASSOCIATION)
CORAL GABLES COUNTRY CLUB
CORAL GABLES, FL
APRIL 29-30, 2016
FLORIDA CHAPTER AMERICAN ACADEMY OF OPTOMETRY
MAY 21, 2016
THE RESORT AT LONGBOAT KEY CLUB
LONGBOAT KEY, FL
JUNE 29-JULY 3, 2016
AOA OPTOMETRY'S MEETING
JULY 14-17, 2016
2016 FOA ANNUAL CONVENTION
PALM BEACH, FL
JULY 28-31, 2016
PRESIDENTIAL PLANNING RETREAT
KEY WEST, FL
AUGUST 5-7, 2016
SWFOA EDUCATIONAL RETREAT
SOUTH SEAS ISLAND RESORT
CAPTIVA ISLAND, FL
OD Wanted - Multiple Openings Available
U.S. Vision operates over 750 Retail Optical Centers in 45 states in JCPenney, Boscov’s, Meijer, BJ’s Wholesale Club and other department stores. Our locations offer quality eyewear, contact lenses, and optometric services. We have full and/or part time opportunities available in many areas of the country.
Practicing next to a U.S. Vision location does not require any investment. We provide you with a fully equipped office with exposure to an immediate patient flow including participation in some of the largest managed care networks in America. As an independent practitioner, you will be able to provide your patients with optometric services, collect professional fees set by you, and not have to be concerned with an abundance of business and administrative distractions.
We currently have openings in Boynton Beach, Lakeland, Orlando, Pensacola, Spring Hill, Jacksonville, Mary Esther, Merritt Island, Coral Springs and Aventura.
Please contact us at firstname.lastname@example.org
or 1-800-303-0940 for more information. Please visit our website at www.usvision.com
for a list of nationwide opportunities currently available.
OD Wanted in Leesburg, Florida
OD wanted in successful private practice in Leesburg, Florida. Practice established in 1970. Senior partner is reducing his schedule. 3 1/2 day work week. Great staff and excellent benefits. Seeking partner to grow with the practice.
(Florida NOT Virginia)
OD Wanted in Fernandina Beach / Amelia Island area
Paradise is looking for an OD. If you are interested in working in the beautiful Amelia Island area we have the place for you. This growing two location practice is looking for a doctor who can grow with us and be part of an exceptional community. Contact Mike@EyeEnvyOptical.com
ODs Wanted in Tampa Bay, Orlando, Polk County, Ocala, Bradenton-Sarasota and Fort Myers areas
Full or part-time optometrists wanted for large multi-office group practice. Flexible hours. Pay can be up to and exceeding $200,000. Call Dr. Robert Lewenson 813-385-1873 or email@example.com
OD Wanted in Jacksonville area
Looking for a future owning a successful optometric practice? Associate needed starting November 1, 2015 with a possible option to buy from retiring optometrist. Inquiries please email firstname.lastname@example.org
OD Wanted in Broward and Palm Beach County
“Friday’s” certified optometrist for mobile visual service company specializing in geriatric care for nursing and retirement homes. Candidate possesses strong diagnostic experience, knowledge of various pathologies and treatment protocols. Kindness and compassion a must! Please call Bob Chess @ (954) 325-1555 or email email@example.com
Optometrist Wanted in North Florida & South Georgia
Optometrist positions open for Northern Florida (including Tallahassee, Perry, and Jacksonville) as well as Southern Georgia (including Waycross and Warner Robins). Practice full scope optometry with the latest in technology alongside a dedicated and well trained staff. Excellent hours and competitive salary with bonus potential. Full benefits include medical/dental, 401K, PTO, and paid holidays. Full-time and part-time options available. Send CV to firstname.lastname@example.org
and all inquiries will remain confidential.
Optometrist Wanted at The Villages
Are you looking to become part of a thriving eye care practice in one of the fastest growing communities in Florida? St. Luke’s in The Villages offers an excellent opportunity to grow a medically oriented optometric practice. St. Luke’s at the Villages offers a beautiful new office, situated in the heart of The Villages community. For a detailed job description, please click here
. To apply, go online at http://www.stlukeseye.com/careers/
or contact Angela Garrison 727.234.4144 or email@example.com
OD Wanted by MCR Health Services
MCR Health Services is seeking a talented and experienced FT Director of Optometry to join and lead a growing eye care team providing care at three optometry sites. Spanish would be considered a strong attribute. Practice compassionate medical eye care, while examining and treating minor eye emergencies, ocular diseases, and prescribing eye glasses and contact lenses. Our optometry departments have full onsite opticals, special testing equipment (HVF, OCT, Fundus Photography), and well trained staff including technicians. Contact Sharon Hong 941-776-4000 ext 265 firstname.lastname@example.org
OD Wanted in Miami
Seeking full-time Spanish speaking Optometrist.
Residency, board certification, and oral pharmaceutical privileges preferred. We have locations throughout Miami. Please check out our website www.vuoptical.com
. Call or email with any questions: 305-733-1355 email@example.com
OD Wanted in Seminole County
Situated amidst the lush oasis of Seminole County and minutes form Orlando, Florida, this practice offers the best of both worlds. Located in award-winning Oviedo near the Seminole Expressway, this is a unique opportunity that should not be missed. This practice covers 3,000 square feet with three exam lanes, five full-time and two part-time staff members. The practice grossed $1M in 2014. To learn more, visit www.cleinman.com/practices-for-sale
or call 1-800-331-5536.
OD Wanted in Destin and Panama City
Now hiring full-time / part-time optometrists for our Destin and Panama City Beach locations. Please send inquiries to Dr.ShannonDFowler@gmail.com
or call 850-654-3937 for details.
OD Wanted - Jupiter, FL
Board certified optometrist needed for well established family operated optical. No evening or weekend hours. Primary vision care services specializing in contact lens. Contact Angela @ (772) 323-5229 or firstname.lastname@example.org
OD Wanted in Fort Myers
Frantz EyeCare is looking for a full time optometrist to join our busy practice. Established in Fort Myers in 1994 by Jonathan M. Frantz, MD, FACS, Frantz EyeCare is a well-established and growing practice, which has locations in Fort Myers, Cape Coral, Punta Gorda, Lehigh Acres and Naples.
Dr. Frantz is a two-year fellowship-trained cornea and refractive specialist. Although the main focus of the practice is on Bladeless Laser Cataract Surgery and LASIK with the Wavelight Refractive Suite, our practice also includes a team of ophthalmologists who specialize in corneal and external diseases of the eye, diseases of the retina, glaucoma, and ophthalmic and plastic reconstruction.
Our team of board-certified optometric physicians provides total eye care including pre and post-operative care, as well as management of eye diseases and routine eye exams. Typically there are no evening or weekend appointments. Compensation includes a competitive base salary with an incentive bonus. Benefits include health insurance, life insurance, 401(k), continuing education, vacation and sick paid time off.
To become part of our exciting team of health care professionals, please contact Tammy Moore: Tammy@bettervision.net
Phone (239) 418-0999 Fax (239) 274-0388
OD Wanted in Jacksonville
Full-time opportunity for optometrist with efficient clinical skills both routine and medical as well as excellent patient chair-side demeanor. St. Johns Eye Associates has two private practices that are both located in rapidly growing St. Johns County. Competitive salary, benefits and productivity bonus plan. Please contact Sharokh Kapadia, OD, FAAO at email@example.com
or call (904) 626-5195.
EQUIPMENT FOR SALE
Top quality frames on sale at fire sale prices
Top quality frames originally purchased for $36,000 on sale at fire sale prices. Ophthalmic frames and ophthalmic sunglasses. Safilo, Cazal, New York, etc. For more information and spreadsheet listing the frames and prices contact firstname.lastname@example.org
PRACTICE FOR SALE
Practice for Sale - St. Petersburg
Gross revenue $290,000, and 2015 so far is up 18%. 1,700 square feet includes lab and room for second exam lane. EMR in place. Great location with easy access and plenty of parking. Photos available. Offered at $135,000 plus inventory, currently estimated at $15,000. Contact Practice Consultants at 800-576-6935 or info@PracticeConsultants.com
Optometry Practice for Sale - Space Coast
This thriving primary care practice has been established over 32 years. Gross revenue of $700,000 in 2014 with a robust net income. The freestanding office is conveniently located just off two major streets. Three fully equipped exam rooms and a separate dispensary. EMR system in place. 100% Bank Financing Available (on approved credit). For details contact Mo Majdi at (800) 416-2055 or visit us at TransitionConsultants.com
FOA SERVICE PROVIDERS
Capital Preservation Services, LLC
Florida Optometric Insurance Services
Full Service Insurance Agency
1113 E. Tennessee St.
Tallahassee, FL 32308
Everett Health Care Consultants, Inc.
P.O. Box 669607
Marietta, GA 30066
(404) 393-1036 fax
Members 401(k) Advantage
Available through Florida Retail Federation
Optometric Business Solutions
HIPAA Compliance, Billing Services, Third Party Assistance
10212 Chesterton Drive
Dallas, TX 75238
Carson & Adkins
2930 Wellington Circle
Tallahassee, FL 32309
Optometric Website Design
20-255 Dundas Street
Waterdown, ON, LOR 2H6
Debt Collection Services
P.O. Box 64639
St. Paul, MN 55164
KODAK Lenses/3M Optical Supply
1001 Armorlite Drive
San Marco, CA 92069
Vision West, Inc.
Membership Buying Group
1927 Avenieda Plaza Real
Ocanside, CA 92056