Dr. Trevor J. Cleveland - Optometric Physician 1717 Centennial Blvd., Suite 2 
	Springfield, Oregon 97477 
	541.747.0616
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Online Bill Payment

At this time, Complete Vision Center can accept online payments made with credit or debit cards. We accept Visa, Mastercard, Discover, and CareCredit.

 

The security of your information is very important to us. This form is fully secure and your information will be protected. To learn more about the security measures used on this form, click the security logo to the right.

Your Name:

Account Name / Number:
(see statement) *

Email Address:

Payment Amount: *

 

We accept Visa, Mastercard, Discover, and CareCredit.

 

Credit Card Number: *

CVV Code:
(3-digit # on back of card) *

Name on Card: *

Expiration Date: *

 

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Email  Regular Mail  

 
 

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