May | June 2009 A LSO I N T HIS I SSUE EYE ON THE FUTURE: MOA ANNUAL CONFERENCE 2009 SURETY BONDS AND OPTOMETRY SAVE YOUR CHILDREN’S VISION EXAMINATION DATA MISSOURI OPTOMETRISTS ATTEND SCHOOL NURSES’ CONVENTION TAKE A CLOSER LOOK AT THE BENEFITS OF MOA / AOA MEMBERSHIP NEW MEMBERS CALENDAR OF UPCOMING EVENTS MISSOURI OPTOMETRIC SOCIETY REPORTS MOA: LEADERSHIP THAT WORKS Doctors of optometry from across the state gathered, on the last weekend in May, at The Lodge of Four Seasons at the Lake of the Ozarks in central Missouri. The MOA Leadership Retreat allows optometrists, industry alliance groups, and paraoptometric members to meet and improve communications and leadership skills. Continued, see Leadership, page 4 MOA W INNERS I N THE AOA P HOTOGRAPHY C ONTEST Winners of the 2009 American Optometric Association Photo Contest were announced June 3, 2009, and two of those honored were MOA/ MOSA members. The contest was open to AOA member ODs, American Optometric Student Assoication members, and Paraoptometric section members. The four categories were Practice Settings, Special Popluations, Community, and Events, and the contest’s top prize in each category received $500 in cash. A panel of 10 judges selected winners from the 130 entries summited. Continued, see Photography, page 6. Dr. David Cockrell speaks to MOA members via Webex during the MOA Leadership Retreat. Special Populations--1st Place Tonia Batts, UMSL Student, MOSA Member This was taken after a long day during a mission trip. The childern all wanted to become doctors when they grew up, so I let them play with my equipment and snapped some photos during “play time.”
Transcript
May | June 2009
A l s o I nT h I sI s s u e
EyE on thE FuturE: MoA AnnuAl ConFErEnCE 2009
SurEty BondS And optoMEtry
SAvE your ChildrEn’S viSion ExAMinAtion dAtA
MiSSouri optoMEtriStS AttEnd SChool nurSES’ ConvEntion
tAkE A CloSEr look At thE BEnEFitS oF MoA / AoA MEMBErShip
nEw MEMBErS
CAlEndAr oF upCoMing EvEntS
MiSSouri optoMEtriC SoCiEty rEportS
MoA: leAdershIp ThAT Works Doctors of optometry from across the state gathered, on the last weekend in May, at The Lodge of Four Seasons at the Lake of the Ozarks in central Missouri.
The MOA Leadership Retreat allows optometrists, industry alliance groups, and paraoptometric members to meet and improve communications and leadership skills.
Continued, see Leadership, page 4
MoA WI n n e r s In T h e AoA ph o T o g r A p h y Co n T e s T
Winners of the 2009 American Optometric Association Photo Contest were announced June 3, 2009, and two of those honored were MOA/MOSA members.
The contest was open to AOA member ODs, American Optometric Student Assoication members, and Paraoptometric section members. The four categories were Practice Settings, Special Popluations, Community, and Events, and the contest’s top prize in each category received $500 in cash. A panel of 10 judges selected winners from the 130 entries summited.
Continued, see Photography, page 6.
Dr. David Cockrell speaks to MOA members via Webex during the MOA Leadership Retreat.
Special Populations--1st PlaceTonia Batts, UMSL Student, MOSA MemberThis was taken after a long day during a mission trip. The childern all wanted to become doctors when they grew up, so I let them play with my equipment and snapped some photos during “play time.”
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pr e s I d e n T ’s Me s s A g eAs you receive the VISION the legislative session has been over for about six weeks. There are two ways to look at this session: we can say “nothing took place for the betterment of optometry” or we can say “nothing was signed into law that is a detriment or takes away any current privileges.” Although this is questionable way to look at this annual gathering of legislatures, it is reality. Our number one priority is to take care of our patients, but we must never forget that with votes cast and a stroke of a pen at the state capitol, the way we practice could all change.
These are comments that lead into what took place at the MOA Leadership Retreat on May 29-30 at the Lodge of the Four Seasons. Hopefully the MOA membership appreciates the doctors that took time out of their practices and time away from their families to put their energy and efforts into helping our profession. Many members question...”Is this really important?”...rest assured that it is key to making sure we are continue to move the MOA in positive direction and try to make decision that will only strengthen our profession.
We were fortunate to have Rep. Nieves come and present to committee members how important leadership is within our organization and how critical it is to be politically involved. Although we tire of hearing these comments, it is so imperative that we continue to place our efforts into the legislative process whether we enjoy it or not. Due to term limits it also requires us to keep our grassroots effort strong and this process does take time, energy and money.
We also had David Cockrell by webcast to provide a presentation about Board Certification. This method allowed for live interaction and the ability to ask questions in real time. This was available to all members, and we hope you took advantage of this if you had questions you needed answered. Although this is a contentious subject, please understand that your MOA Board has tried to give you avenues to be educated and hear your concerns about this subject. Trustees have made efforts to communicate with their societies and hopefully have directed you to numerous sites with opportunities to be informed about this topic. Please understand whichever way the AOA moves forward with this issue remember we are all supportive of one another. There have been many decisions throughout the history of the MOA and AOA that could have been divisive issues if members would have continued to dwell on them. Having so many different ideas and opinions is the strength of any organization and should always be used to the advantage of its members.
Coming up this October is our annual convention at Lodge of the Four Season. The convention planning committee and central office have been working hard to prepare for this upcoming event. Again this year members will be able to register online, so be looking for that information. The continuing education looks to be well rounded with strong lecturers. Please plan on attending the event and being involved in your MOA.
Again it is a pleasure to serve the membership of the MOA, and if I can be of help or answer any questions please feel free to call or email me. I hope you have a fun, family-filled summer.
Wes Kemp, O.D., MOA President
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le A d e r s h I p , f r o M p.1
On Friday there was a meeting with industry alliance members and members of the MOA with a discussion on mutual issues that affect each group. Each of the members shared information with each other that will improve communications and understanding of the events that affect eye care in Missouri.
It wasn’t all work and no fun on Friday afternoon. A golf tournament was held at the Lodge of the Four Season’s Golf Course, The Witch’s Cove. Following the golfing there was a welcoming reception and Mexican style dinner at the Lodge.
At the Saturday morning meeting a major focus of interest was Board Certification and how this proposal was developing as we get closer to the June AOA meeting in Washington, DC. To help inform MOA members about this important issue the MOA invited Dr. David Cockrell from Stillwater, OK, to be our guest speaker. Dr. Cockrell currently serves on the AOA Board of Trustees. He updated everyone on what is going on with the Board Certification issue by a special live Webex feed that could be viewed by MOA members from around the state.
Another honored guest at our retreat was Republican Majority Whip, Representative Brian Nieves. He talked about issues that affect legislation and optometry in the state capitol.
On Saturday afternoon there were committee meetings to discuss important issues that could affect optometry and eye care in Missouri. Those committee members split up into
subgroups for intense discussions. Each area of discussion leads to recommendations on action items that will help shape the MOA in the future.
Saturday evening and Sunday morning the MOA Board of Directors held their meetings to act on items dealt with during the committee meetings.
Any member of the MOA may attend the yearly Leadership Retreat. If you are interested in attending next year, talk to any MOA society officer or MOA board member to find out how you can become more active in your profession.
MOA leaders discuss board certification, a hot-button topic for the Optometry’s Meeting™
Drs. Cullinane & Klein getting ready for a round of golf.
Missouri Republican Majority Whip, Rep. Brian Nieves
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ph o T o g r A p h y , f r o M p. 1
Missouri Optometric Student Association (MOSA) member Tonia Batts, took first and second place in Special Populations and third in Practice Settings. Batts is currently an optometry student starting her third year at UMSL. MOA member Dr. James Hunt, Doniphan, won second in Practice Settings and third in Special Populations. Hunt has been honored MOA as Young Optometrist of the Year and OD of the year.
Here are the additional winning photographs.
Special Populations--2nd PlaceTonia Batts, UMSL Student
This was a photograph taken of another student examining a young woman during a mission trip to Jamaica. It is the detail of this picture that makes me love it. Everything from the cross on the doctor’s neck to the look on the woman’s face makes this photograph mean a lot to me.
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Special Populations--3rd PlaceJames Hunt, OD
I’m having my eyes checked by my 3 year old grandson, Trace Lapar. The picture was taken by Trace’s mother, my daughter, Bryanna Lapar. We were at the office and Trace wanted to wear my practice lab coat. That led to several pictures of him acting like he was checking my eyes. It was fun for both of us. He looks so serous in this picture. I was trying to get him to smile.
More photos, page 18
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May | June 2009
This year the MOA Golf Tournament will be held at the Osage National Golf Course, Missouri’s only Arnold Palmer designed course! And our Friday night entertainment will be provided by Wite Lite, with the MOA’s own Dr. Tom Greene.
To reserve your room, please contact The Lodge of Four Seasons in Lake Ozark, Missouri, by calling 1-800-THE LAKE or visiting them online at 4SeasonsResort.com. The convention room rate is $139/night, plus tax, and the cutoff date for reservations is September 1, 2009.
Thanks to our 2009 Convention Planning Committee!
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Continuing Education Topics for Optometrists•Contact Lens Management of Presbyopia in the 21st Century •Managing Anterior Segment in Systemic Disease •New Technologies in AMD Management •The Sales Process •Low Vision—What They Didn’t Teach You in School •Radiology Update•Recognizing Signs of Retinal Disease•The Top Ten Management Concepts ODs Must Know•Latisse®
Continuing Education Topics for Paras•It Doesn’t Have To Be That Way•Ophthalmic Medications•Low Vision Workshop•Today’s Products•The Sales Process•Visual Fields•Cyberaccess Update
•Dr. Jeffrey Weaver, Chair •Dr. Bradley Lewis, Continuing Education •Dr. Mark Curtis, Entertainment •Dr. Tom Cullinane, Golf Tournament •Dr. Scott Burks, Exhibit Hall
•Dr. Jeff Gamble, Exhibit Hall •Dr. Ryan Powell, Sponsorship •Cherie Harris, PARA Representative •Beth Thompson, MOAA Representative •Alicia Triplett, MOSA Representative
• Dr. Lee Ann Barrett, MOA Executive Director
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sureTy Bonds And opToMeTry
The AOA and the MOA are getting numerous calls and emails regarding optometrists and surety bonds. Most optometrists are not subject to the surety bond requirement.
The surety bond requirement for DME suppliers traces back to a 1997 federal law that CMS has finally implemented. The AOA and others successfully explained to CMS that the surety bond requirement was not intended to apply to physicians (including ODs).
In January 2009, CMS published the final regulations and agreed with us that physicians who supply DME do not need to obtain a surety bond; however, there are two exceptions.
1. CMS does not want DME supply companies to elude the rule by naming a physician as a figurehead, so CMS cautions that the exemption applies only to physicians who supply DME to their patients. When a patient comes into an optometrist’s practice for care, a doctor-patient relationship is probably established. 2. Since opticians are not physicians, opticians still need a surety bond. If an optometrist employs an optician and the optician has a DME supplier number, then the entire practice might need to obtain a surety bond.
We think these two carve outs will not subject many ODs to the surety bond requirement.
The bottom line is that all or nearly all ODs who supply post-cataract eyeglasses to their Medicare patients do not need to obtain a surety bond.
A new DME supplier enrollment form has a section on surety bonds and includes an option for the OD to check a box that they are exempt from this requirement. If CMS, the National Supplier Clearinghouse (Palmetto) or your DME contractor insists that an OD must obtain a surety bond, then please let us know about that situation.
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sAve your ChIldren’s vIsIon exAMInATIon dATAThe MOA was instrumental in passing children’s vision legislation. Since July 1, 2008, all children in kindergarten or first grade entering Missouri schools for the first time are required to have a comprehensive eye exam. This important measure helps ensure children have the visual skills necessary to learn.
One part of the Children’s Vision Bill stated that it had a sunset clause of four years, which means that if we can not show that examinations are superior to screenings, this much needed service could expire by June 30, 2012.
The MOA is working on an electronic form for reporting children’s vision examination data. This will allow us to enter the information into a database to statistically analyze the data. Details on use of the new form and how to access the form will be forthcoming, but in the meantime, continue to give one copy to the patient to present to the school administration, keep one copy in the patient’s files, and file another copy in a separate folder for easy access until further notice.
In Kentucky, where comprehensive children’s vision exams are mandatory for all students entering kindergarten, 20% of the children examined had some type of vision problem. This type of statistical data is needed to show the benefit of this legislation and continue mandatory eye examinations for the children of Missouri.
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MIssourI opToMeTrIsTs ATTend sChool nurses’ ConvenTIonThe Missouri Association of School Nurses (MASN) held their annual convention in St. Louis on April 17th through April 19th, and the MOA was there with a booth in the exhibit hall.
Dr. Mark Curtis, Dr. Tom Cullinane, Dr. Robert Goerss and Dr. Jeff Weaver discussed the Missouri Children’s Vision Law with more than 100 school nurses while manning the MOA booth. The nurses were eager to learn tips on everything from screening techniques to filing exam and screening paperwork.
During one of the break-out sessions, Dr. Curtis and Dr. Cullinane presented an hour-long class on implementing the exam law requirements. This same presentation is available on powerpoint through the MOA and is easily customized for optometrists to do for local nurses. If you’d like a copy, please contact Jay ([email protected]) at the MOA central office.
One of the highlights of the convention came during the awards ceremony when Patti White of Warrensburg was named the 2009 Missouri School Nurse Administrator of the Year. White serves on the MASN board and has been a leading voice in Missouri supporting the Children’s Vision Law. Dr. Curtis was able to help present the award to her as a school board member for the Warrensburg School District.
The MASN annual convention will be in Kansas City in 2010. The MOA looks forward to working with the MASN in the future to help reduce the number of children with undiagnosed vision disorders.
Dr. Mark Curtis and Patti White, 2009 Missouri School Nurse Administrator of the Year.
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TA k e A Cl o s e r lo o k A T T h e Be n e f I T s o f MoA / AoA Me M B e r s h I pThere are many benefits to being an MOA/AOA member, so many that most of us are not aware of them al l . From advocacy and education to publ ic relat ions and continuing education programs, there are many benefits for al l MOA/AOA members, benefits that have a major impact on our practices.
In order to inform you of the many benefits , in the coming months the MOA wi l l h ighl ight a dif ferent benefit on the website and in the VISION newsletter.
The Member Services Committee developed the MOA New Practit ioner’s Guide which wi l l be avai lable on the MOA website very soon. The guide contains information indispensable to new graduates, as wel l as establ ished optometr ists . For example:
• Resources for employed/aff i l iated optometr ists • Obl igat ions of an employer/business owner • L ists of managed care plans in Missour i • Pract ice management software suggest ions
The MOA New Practit ioner’s Guide also tackles common quest ions regarding:
• Jury duty • Sales tax • Car window t int ing • Spectacle and contact lens release laws • Dr iver’s l icense requirements • Contact information for optometr ic, government and ophthalmic- related organizat ions
Watch upcoming issues of VIS ION and the MOA Web s i te. Further detai ls and information wi l l be avai lable soon.
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op T o M e T r I C so C I e T y re p o r T s
CenTrAl MIssourI opToMeTrIC soCIeTyTrustee: Jeffrey M. Gamble, O.D.
Central Optometric Society continues to meet monthly for learning and fellowship.
In April we were pleased to host Dr. Wes Kemp for the MOA presidential visit. There was extensive discussion about board certification. Dr. Kemp was able to clarify some areas of concern and give insight into the AOA’s motivation for developing the proposed model.
Coopervision sponsored our May meeting to provide information to our doctors about newly released Coopervision contact lenses.
COS is planning on having a family picnic in July and then taking a break for a few months before starting again in the fall.
greATer ozArk opToMeTrIC soCIeTyTrustee: Scott M. Burks, O.D.
At our April meeting we had a CE presentation that GOOS President Dr. Justin Hart arranged for us. This month we held our annual elections and the following doctors were elected for office: • President-Dr. Julie Hart • Vice President-Dr. Devon Jarvis • Secretary/Treasurer-Dr. Lane Nutt • Trustee-Dr. Scott Burks
Congratulations and thanks to all our new officers. All the members of GOOS would like to thank all the outgoing GOOS officers, especially Dr. Justin Hart, for all their hard work over the past couple of years.
We once again hope to have CE at out July meeting.
kAnsAs CITy opToMeTrIC soCIeTyTrustee: John Gelvin, O.D., F.A.A.O.
The Kansas City Optometric Society has been meeting monthly this year. We had some very well attended meetings with contact lens related continuing education in 2009.
Discussion was held regarding Board Certification. With the AOA continuing to send out information, we agreed to continue to send out information by email to society members. Then, have a vote by email ballot closer to the national AOA meeting.
At the May meeting, the Society voted unanimously to nominate Dr. John Gelvin to MOA Secretary status on the MOA Board in October 2009. The Society also voted unanimously to nominate Dr. Melanie Linderer to KCOS Trustee at the same time.
Society Reports, continued page 16.15
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so C I e T y re p o r T s , cont inued from page 15
kCos, ConTInuedMany Kansas City doctors are planning to attend the MOA Leadership Retreat.
We are currently working on plans for our Legislative Thank You Barbeque taking place on June 1st out at Longview Lake. We hope to see many State Representatives and Senators at this fun event.
We will then be taking a break for the months of July and August before we start up with Society meetings again in September.
The Northeast Optometric Society met on April 16, 2009 at The Pear Tree in Bevier, MO. This event was attended by both OD’s and their spouses.
Our guest was MOA Executive Director Dr. Lee Ann Barrett. Dr. Barrett gave an overview of the proposed board certification plan and answered members’ questions regarding the proposal. In addition, we were given an update on the improvements to the MOA building and other issues currently affecting MOA members.
Our next meeting will be scheduled for sometime over the summer months depending on speaker availability.
norThWesT opToMeTrIC soCIeTyTrustee: Jeffrey H. Powell, O.D.
No Report Available
souTheAsT opToMeTrIC soCIeTyTrustee: James Hunt, O.D.
Several members were in attendance at the May SEOS meeting, at the Hickory Log Restaurant, in Dexter, MO. This meeting was hosted by SightPath Medical and CE was presented by Dr. Pamela Lowe, from Chicago.
The informative meeting highlighted advances in monitoring AMD patients and the use of the Foresee PHP instrument to identify CNV lesions at an early stage, often before the patient notices loss of visual acuity.
There was also a discussion about the optometry board certification process and all members of the SEOS were urged to attend the Leadership Retreat at the Lake of the Ozarks. An important item at the Leadership Retreat will be a Webex presentation by AOA trustee Dr. David Cockrell, O.D., updating us on optometry board certification.
Society Reports, continued page 17.16
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so C I e T y re p o r T s , cont inued from page 16
Our March meeting included our Presidential Visit by Dr. Wes Kemp and our Executive Director, Dr. Lee Ann Barrett. We discussed issues regarding the Children’s Vision Bill and the proposed board certification that will be brought before the AOA in June. This visit is always enjoyed by the membership.
Our next meeting is scheduled for June.
sT. louIs opToMeTrIC soCIeTyTrustee: Robert Goerss, O.D. | Associate Trustee: Thomas J. Cullinane, O.D.
The Saint Louis Optometric Society is pleased to support Dr. Jeff Weaver’s selection as Secretary of the Missouri Optometric Association, filling the vacancy created by the departure of Dr. Debbie Hettler. Further, SLOS proudly announces the confirmation of Dr. Robert Goerss to serve as the new MOA Trustee to serve alongside Dr. Tom Cullinane.
SLOS Meetings The Saint Louis Optometric Society continues to meet monthly, the second Tuesday of the month, at the St. Louis Marriott West.
On April 14, 2009, Drs. Kevin Greuloch and Melissa Massey presented “The Newest Generation of Intraocular Lenses,” emphasizing pre- and post-operative management, the different lenses available, and how to choose based on patient needs. Alcon was the host of this meeting and the sumptuous buffet dinner.
On May 12, 2009, SLOS welcomed special guest (albeit SLOS and MOA member!) Dr. Barry J. Barresi, Executive Director of the American Optometric Association. He discussed “Optometry’s Response to Value Added Health Care Reform,” addressing the need to demonstrate our competence and embrace a process for board certification in optometry. He answered questions of attendees regarding the latest movement in governmental agencies, as well as the model framework of Optometry’s Joint Board Certification Project Team.
Education at the May meeting was delivered by Drs. Andrew Blatt and Brent Davidson. Dr. Davidson Blatt presented cases entitled “The Harlequin and the Mosquito” that included his personal bout with Dengue Fever. He also discussed “The Good, the Bad and the Beautiful” regarding his study of results of strabismus surgery. Dr. Blatt concluded the evening by lecturing on Neuro Optic Vision Assessment system from Diopsys. Diopsys was the generous sponsor of the evening’s activities.
SLOS is looking forward to their biggest event of the year, the SLOS Installation and Awards Banquet. Dr. Erin Sullivan will be handed the Presidential gavel at the Forest Park Visitor Center, and the new slate of officers will be installed. In addition, two SLOS ODs will be recognized for their service to the profession.
Society Reports, continued page 18.
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so C I e T y re p o r T s , cont inued from page 17
WesT CenTrAl opToMeTrIC soCIeTyTrustee: Jason Lake, O.D.
The West Central Optometric Society hosted MOA President Wes Kemp and MOA Executive Director Lee Ann Barrett for the annual Presidential visit. The meeting was held at Hero’s in Warrensburg and was very well attended. The current legislative and national issues brought about lively debate and conversation.
We look forward to our next meeting during the summer months to determine the new slate of officers for the West Central Optometric Society.
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Practice Settings--2nd PlaceJames Hunt, OD
I was trying to get an interesting picture for a local year book ad--something along the line of “Congratulations Seniors For Keeping Your Eye on the Prize!” My daughter, Bryanna took this picture and the other picture that won 3rd place in the AOA 2009 Photo Contest. She didn’t write the year book ad copy. I was totally guilty of that.
ph o T o g r A p h y , cont inued from page 6
Practice Settings--3rd PlaceTonia Batts, UMSL Student
This was a photo that I took of two young sisters after they both had their first eye exams. I asked the older sister what she wanted to be when she grew up, and she said that she wanted to be a doctor. I asked her what kind of doctor, and she said, “One like you!” It was so adorable that I let her “examine” her younger sister. It took me back to when I was able to answer the question, “What you you want to be when you grown up?”
View all the winning photos from the AOA’s photo contest online at Flickr.com.
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WelCoMe neW MeMBers
The Missouri Optometric Association is pleased to announce the following new member. Please introduce yourself at an MOA sponsored event!
Chantal H. Jacques, O.D.Lesley K. Olswing, O.D.Tawna L. Roberts, O.D.
The Missouri Optometric Association Paraoptometric Section is pleased to announce the following new members. We would also like to thank all the paraoptometric who continue to renew their membership each year!
• Dawn M. Setzer • Laura F. Spurlin
•••
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2009
October 1-4MOA Annual ConventionLodge of the Four SeasonsLake Ozark, Missouri
2010
January 9-10MOA Legislative ConferenceCapitol Plaza HotelJefferson City, Missouri
June 4-6MOA Leadership RetreatCountry Club Hotel & SpaLake Ozark, Missouri
June 16-20Optometry’s Meeting™Orlando, Florida
CA l e n d A r o f up C o M I n g ev e n T s
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2011
January 8-9MOA Legislative ConferenceCapitol Plaza HotelJefferson City, Missouri
June 3-5MOA Leadership RetreatCountry Club Hotel & SpaLake Ozark, Missouri
June 15-19Optometry’s Meeting™Salt Lake City, Utah
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May | June 2009
AB o u T vIsIonVISION is published bimonthly by the Missouri Optometric Association.100 East High Street, Suite 301Jefferson City, Missouri 65101P: 573/635-6151
Editors of Publications:
Lee Ann Barrett, O.D. 1201 West BroadwayColumbia, Missouri 65203P: 573/445-8636F: 573/[email protected]
James M. Hunt, O.D.204 Washington StDoniphan, Missouri 63935P: 573/996-3937F: 573/[email protected]
Send all unsolicited articles, news, and advertising to the MOA Central Office. All opin-ions and statements of supposed fact in signed articles do not necessarily reflect the views and policies of the Missouri Optometric Association.
Deadlines are the first of January, March, May, July, September, and November.
