www.canterburyvc.com
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Submitted URL: http://canterburyvc.com/
Effective URL: https://www.canterburyvc.com/
Submission: On March 06 via api from US — Scanned from DE
Effective URL: https://www.canterburyvc.com/
Submission: On March 06 via api from US — Scanned from DE
Form analysis
8 forms found in the DOM<form id="form-63c577576ca6a" class="cmsForm " data-hide-after-submit=""
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<div class="fieldset">
<div>
<h3>Fill Up Form</h3>
</div>
<div class="form-group required" data-type="text" data-required="true"> <input name="Full_Name_Quick_Contact" value="" id="Full_Name_Quick_Contact" type="text" placeholder="Full Name" class="form-control"></div>
<div class="form-group required" data-validation="^[a-zA-Z0-9._%-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,4}$" data-type="text" data-required="true"> <input name="Email_Quick_Contact" value="" id="Email_Quick_Contact" type="text" placeholder="Email"
class="form-control"></div>
<div class="form-group " data-type="text" data-required="true"> <input name="Phone_Quick_Contact" value="" id="Phone_Quick_Contact" type="text" placeholder="Phone" class="form-control"></div>
<div class="form-group " data-type="text" data-required="true"> <textarea name="Message_Quick_Contact" id="Message_Quick_Contact" placeholder="Message" class="form-control"></textarea></div>
<div class="form-group" data-type="submit"> <input type="submit" class="ry-btn ry-btn-primary" value="Submit"></div>
</div>
<div class="container-fluid" style="padding: 0;">
<div class="alert alert-success" style="display: none;">Form submitted successfully!</div>
<div class="alert alert-danger alert-missing-fields" style="display: none;">You are missing required fields.</div>
<div class="alert alert-danger alert-custom-errors" style="display: none;">Dynamic Error Description</div>
<div class="alert alert-danger alert-processing-error" style="display: none;">There was an error processing this form.</div>
</div>
</form>
<form id="form-63c577576e18c" class="cmsForm " data-hide-after-submit=""
data-meta="eyJkYXRhLW1vZHVsZSI6ImZvcm0iLCJkYXRhLXhzIjoiMTIiLCJkYXRhLWlkIjoiIiwiZGF0YS1jc3NjbGFzcyI6IiIsImRhdGEtc3R5bGUiOiIiLCJkYXRhLWFjdGlvbiI6IiIsImRhdGEtdXJsIjoiIiwiZGF0YS10eXBlIjoiUXVpY2sgQ29udGFjdCBGb3JtIiwiZGF0YS10aGFua3lvdSI6IlRoYW5rIHlvdSEgV2Ugd2lsbCBjb25uZWN0IHdpdGggeW91IHNob3J0bHkuIiwiZGF0YS1qcyI6IiIsImRhdGEtc3VibWl0X2FjdGlvbiI6ImVtYWlscyIsImRhdGEtY3VzdG9tZm9ybWF0dGluZyI6IiIsImRhdGEtdG9fZW1haWxzIjoiY2FudGVyYnVyeXZjQGNhbnRlcmJ1cnl2Yy5jb20iLCJkYXRhLWRlbGl2ZXJ5X21ldGhvZCI6IiIsImRhdGEtdG9fZW1haWxzX2VsZW0iOiIiLCJkYXRhLWZyb21fZW1haWwiOiJsZWFkc0Byb3lhLmNvbSIsImRhdGEtZnJvbV9uYW1lIjoiV2Vic2l0ZSIsImRhdGEtc3ViamVjdCI6IlF1aWNrIENvbnRhY3QgRm9ybSIsImRhdGEtc3VibWl0X2FjdGlvbjIiOiIiLCJkYXRhLWN1c3RvbWZvcm1hdHRpbmcyIjoiIiwiZGF0YS10b19lbWFpbHMyIjoiIiwiZGF0YS10b19lbWFpbHNfZWxlbTIiOiIiLCJkYXRhLWZyb21fZW1haWwyIjoiIiwiZGF0YS1mcm9tX25hbWUyIjoiIiwiZGF0YS1zdWJqZWN0MiI6IiIsImRhdGEtc3VibWl0X2FjdGlvbjMiOiIiLCJkYXRhLWN1c3RvbWZvcm1hdHRpbmczIjoiIiwiZGF0YS10b19lbWFpbHMzIjoiIiwiZGF0YS10b19lbWFpbHNfZWxlbTMiOiIiLCJkYXRhLWZyb21fZW1haWwzIjoiIiwiZGF0YS1mcm9tX25hbWUzIjoiIiwiZGF0YS1zdWJqZWN0MyI6IiIsImRhdGEtYXR0cmlidXRlcyI6IltdIiwiZGF0YS1zdWJtaXNzaW9uc19zZWN1cmUiOiJmYWxzZSIsImRhdGEtbG9naWMiOiJ7fSIsImRhdGEtaGlkZSI6Im5vIiwiZGF0YS1lbWFpbF9mb3JtYXQiOiJkZWZhdWx0SFRNTCIsInRzIjoxNjczODg1NTI3LCJkYXRhLXN1Ym1pc3Npb25zc2VjdXJlIjoiIn0="
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<div class="fieldset">
<div class="col-xs-12 name-input">
<div class="form-group " data-type="text" data-required="true"> <input name="name_ftr" value="" id="name_ftr" type="text" placeholder="Full Name" class="form-control"></div>
</div>
<div class="col-xs-12 email-input">
<div class="form-group required" data-validation="^[a-zA-Z0-9._%-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,4}$" data-errormsg="Invalid Email Address" data-type="text" data-required="true"> <input name="email_ftr" value="" id="email_ftr" type="text"
placeholder="Email" class="form-control"></div>
</div>
<div class="col-xs-12 phone-input">
<div class="form-group required" data-validation="^(([0-9]{1})*[- .(]*([0-9]{3})[- .)]*[0-9]{3}[- .]*[0-9]{4})+$" data-errormsg="Invalid Phone Number" data-type="text" data-required="true"> <input name="phone_ftr" value="" id="phone_ftr"
type="text" placeholder="Phone" class="form-control"></div>
</div>
<div class="col-xs-12 text-input">
<div class="form-group " data-type="text" data-required="true"> <textarea name="message_ftr" id="message_ftr" placeholder="Message" class="form-control"></textarea></div>
<div class="form-group" data-type="submit"> <input ga-on="click" ga-event-action="Click" ga-event-category="Conversion Activity" ga-event-label="Form Submission" type="submit" class="ry-btn ry-btn-primary" value="Submit"></div>
</div>
</div>
<div class="container-fluid" style="padding: 0;">
<div class="alert alert-success" style="display: none;">Thank you! We will connect with you shortly.</div>
<div class="alert alert-danger alert-missing-fields" style="display: none;">You are missing required fields.</div>
<div class="alert alert-danger alert-custom-errors" style="display: none;">Dynamic Error Description</div>
<div class="alert alert-danger alert-processing-error" style="display: none;">There was an error processing this form.</div>
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</form>
<form id="form-63c577576e78f" class="cmsForm " data-hide-after-submit=""
data-meta="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"
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<div class="fieldset">
<div class="col-xs-12 ">
<div class="form-group required" data-type="text" data-required="true"> <input name="Name_apt_modal" value="" id="Name_apt_modal" type="text" placeholder="Name*" class="form-control"></div>
</div>
<div class="col-xs-12 ">
<div class="form-group required" data-validation="^(([0-9]{1})*[- .(]*([0-9]{3})[- .)]*[0-9]{3}[- .]*[0-9]{4})+$" data-errormsg="Invalid Phone Number" data-type="text" data-required="true"> <input name="Phone_Number_apt_modal" value=""
id="Phone_Number_apt_modal" type="text" placeholder="Phone Number*" class="form-control"></div>
</div>
<div class="col-xs-12 ">
<div class="form-group required" data-validation="^[a-zA-Z0-9._%-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,4}$" data-errormsg="Invalid Email Address" data-type="text" data-required="true"> <input name="Email_apt_modal" value="" id="Email_apt_modal"
type="text" placeholder="Email*" class="form-control"></div>
</div>
<div class="col-xs-12 input-field-wrap">
<div class="form-group " data-type="text" data-required="true"> <input data-datepicker="" name="Appointment_Date" value="" id="Appointment_Date" type="text" placeholder="Date" class="form-control hasDatepicker"></div>
</div>
<div class="col-xs-12 ">
<div class="form-group " data-type="text" data-required="false"> <select name="Time_apt_modal" id="Time_apt_modal" class="form-control" title="">
<option value="8:00 am">8:00 am</option>
<option value="9:00 am">9:00 am</option>
<option value="10:00 am">10:00 am</option>
<option value="11:00 am">11:00 am</option>
<option value="1:00pm">1:00pm</option>
<option value="2:00pm">2:00pm</option>
<option value="3:00pm">3:00pm</option>
<option value="4:00pm">4:00pm</option>
</select></div>
</div>
<div class="col-xs-12 ">
<div class="form-group " data-type="text" data-required="true"> <textarea name="Message_apt_modal" id="Message_apt_modal" placeholder="Message" class="form-control"></textarea></div>
</div>
<div class="form-group" data-type="submit"> <input type="submit" class="ry-btn ry-btn-primary" value="Submit"></div>
</div>
<div class="container-fluid" style="padding: 0;">
<div class="alert alert-success" style="display: none;">Thank you. We will connect with you shortly.</div>
<div class="alert alert-danger alert-missing-fields" style="display: none;">You are missing required fields.</div>
<div class="alert alert-danger alert-custom-errors" style="display: none;">Dynamic Error Description</div>
<div class="alert alert-danger alert-processing-error" style="display: none;">There was an error processing this form.</div>
</div>
</form>
POST /login
<form method="post" action="/login" accept-charset="UTF-8"> <input type="hidden" name="login_filter_action" value="login"><input id="_login_email" class="form-control" type="text" placeholder="Email" name="email"><input id="_login_password"
class="form-control" type="password" placeholder="Password" name="password"><input class="btn btn-default btn-login" type="submit" value="Login"><br><a href="#" class="forgotPasswordLink">Forgot Password?</a> <br>
<h3>OR</h3>
<div class="social-btns">
<a href="https://admin.roya.com/front-site/hybrid-login/?site=Site-6906a003-dcb0-444a-a594-d8fc41e54109&service=Facebook&ts=1678072853&ref=https%3A%2F%2Fwww.canterburyvc.com%2F%3Furl%3D%26isaDirectory%3Dtrue&token=cd228cece712f09d4a96c642af432b2df7aea09a724242744880bf50031c1f0d" class="btn btn-lg col-xs-12 btn-social btn-facebook v-margin-5"><span class="fa fa-facebook"></span> Sign in with Facebook</a><a href="https://admin.roya.com/front-site/hybrid-login?site=Site-6906a003-dcb0-444a-a594-d8fc41e54109&service=Google&ts=1678072853&ref=https%3A%2F%2Fwww.canterburyvc.com%2F%3Furl%3D%26isaDirectory%3Dtrue&token=b668acc245bc1744b558e3211371a2f062290daffc2dde8c92b733b0adbd0918" class="btn btn-lg col-xs-12 btn-social btn-google v-margin-5"><span class="fa fa-google"></span> Sign in with Google</a>
</div>
</form>
POST /forgotPassword
<form method="post" action="/forgotPassword" accept-charset="UTF-8" class="forgotPasswordForm" style="display: none;"> <input type="hidden" name="login_filter_action" value="forgot"><br>
<div class="resetPassworderror"></div> <br><input id="_forgotPassword_email" class="form-control" type="text" placeholder="Email" name="email"><input class="btn btn-default btn-resetPassword" type="submit" value="Send new password">
</form>
POST /register
<form method="post" action="/register" accept-charset="UTF-8"> <input type="hidden" name="login_filter_action" value="register"><input id="_register_email" class="form-control" type="text" placeholder="Email" name="email"><input
id="_register_firstname" class="form-control" type="text" placeholder="First Name" name="firstName"><input id="_register_lastname" class="form-control" type="text" placeholder="Last Name" name="lastName"><input id="_register_phone"
class="form-control" type="text" placeholder="Phone" name="phone"><input id="_register_password" class="form-control" type="password" placeholder="Password" name="password"><input id="_register_password_confirmation" class="form-control"
type="password" placeholder="Repeat Password" name="password_confirmation"><input class="btn btn-default btn-register" type="submit" value="Create account"></form>
POST /saveSearch
<form method="post" action="/saveSearch" accept-charset="UTF-8"> <input id="_saved_search_name" class="form-control" type="text" placeholder="Name your search" name="saved_search_name"><br><input class="btn btn-primary btn-save-search" type="submit"
value="Save"></form>
POST /updateProfile
<form method="post" action="/updateProfile" accept-charset="UTF-8" class="form-horizontal"> <input type="hidden" name="login_filter_action" value="update-profile"><input type="hidden" name="_id" value="">
<div class="form-group"> <label for="_updateProfile_email" class="col-sm-3 control-label">Email</label>
<div class="col-sm-9"> <input id="_updateProfile_email" class="form-control" type="text" placeholder="" name="email" value=""></div>
</div>
<div class="form-group"> <label for="_updateProfile_firstname" class="col-sm-3 control-label">Name</label>
<div class="col-sm-9"> <input id="_updateProfile_firstname" class="form-control" type="text" placeholder="" name="name" value=""></div>
</div>
<div class="form-group"> <label for="_updateProfile_password" class="col-sm-3 control-label">Password</label>
<div class="col-sm-9"> <input id="_updateProfile_password" class="form-control" type="password" placeholder="leave empty to remain unchanged" name="password"></div>
</div>
<div class="form-group"> <label for="_updateProfile_password_confirmation" class="col-sm-3 control-label">Confirm Password</label>
<div class="col-sm-9"> <input id="_updateProfile_password_confirmation" class="form-control" type="password" placeholder="leave empty to remain unchanged" name="password_confirmation"></div>
</div>
<div class="form-group">
<div class="col-sm-offset-2 col-sm-10"> <input class="btn btn-primary btn-update-profile pull-right" type="submit" value="Update Your Profile"></div>
</div>
</form>
Text Content
Skip to main contentEnable accessibility for visually impairedOpen the accessibility menu Menu * Menu * About * Order Contact Lenses * Open submenu ( Services) Services * Optical Boutique * Open submenu ( Patient Center) Patient Center * Contact Close submenu Services * Comprehensive Eye Exam * Pediatric Eye Exam * Contact Lens Exam * Dry Eye Treatment * Cataracts * LASIK Surgery Co-Management * Management of Macular Degeneration * Diabetic Retinopathy Close submenu Patient Center * New Patient Form * Insurance * Reviews * Blog (508) 500-1562 Browse Eyewear * About * Order Contact Lenses * Services * Comprehensive Eye Exam * Pediatric Eye Exam * Contact Lens Exam * Dry Eye Treatment * Cataracts * LASIK Surgery Co-Management * Management of Macular Degeneration * Diabetic Retinopathy * Optical Boutique * Patient Center * New Patient Form * Insurance * Reviews * Blog * Contact Quick Appointment Form FILL UP FORM Form submitted successfully! You are missing required fields. Dynamic Error Description There was an error processing this form. HERO WELCOME TO CANTERBURY VISION Conveniently located at Route 12 in West Boylston Request an Appointment SERVICE Comprehensive Eye Exams Pediatric Eye Exams Optical Boutique WELCOME WELCOME TO CANTERBURY VISION We welcome patients of all ages to our comfortable optometry office. Our warm and trusted eye doctor provides personalized optical and medical eye care services to satisfy your family's needs at any age, from pediatrics to geriatrics. In our friendly clinic, we become familiar with each individual patient in order to customize eye exams and treatment options. Our family eye care services include eye exams for kids and adults, vision correction, and management of age-related eye disease. Discover More ADD CLASS "style2" to this section wrapper if style2 is active MEET THE TEAM MEET OUR DOCTOR DR. LORI HEYLER Dr. Heyler graduated from Shippensburg University with a Bachelor of Science Degree in Chemistry. She went on to earn her Doctor of Optometry from the Pennsylvania College of Optometry in 1993. She spent four years as an Air Force Optometrist in San Antonio, Texas where she was in charge of the Aircrew Contact Lens Program and the Quality Assurance Process for the optometry clinic. Learn More ABOUT CLIENT REVIEWS We are confident that we can provide the eye care you need. With us, vision care goes far beyond a simple examination. Read More Professional & down to earth staff. Dr. Heyler provides a thorough exam every time and they always make sure to get my contacts in as quickly as possible for my convenience. I am so happy with my care. MARANDA B. Knowledgeable staff. Pleasant environment. Doctor that takes the time to thoroughly evaluate each patient. My whole family goes to Canterbury Vision and we all love them. TRACEY Awesome!! Dr. Heyler is patient, kind and thorough, as is her staff!! I HIGHLY recommend them to anyone, as you won't be disappointed!! They are all very up-to-date on current eyeglass frames and styles. Great prices and Extremely informative on all aspects of the industry!! Love them!! LORI OUR AFFILIATIONS BRANDS WE CARRY Get in Touch Thank you! We will connect with you shortly. You are missing required fields. Dynamic Error Description There was an error processing this form. INTERESTED IN OUR SERVICES? Request appointment with this form to schedule a time with our professional staff! Request an Appointment Contact Info Address: 67 West Boylston St. Suite #11 West Boylston, MA 01583 Phone: (508) 500-1562 Clinic Hours * Monday 10:00 AM - 05:30 PM * Tuesday 9:00 AM - 05:00 PM * Wednesday 9:00 AM - 05:00 PM * Thursday 9:00 AM - 05:30 PM * Friday 9:00 AM - 1:00 PM By Appointment Only * Saturday Closed * Sunday Closed Powered by: Copyright © 2018 Canterbury Vision Care. - All Rights Reserved. - Accessibility Statement - Sitemap - Privacy Policy Copyright © 2018 All Smile Center. All Rights Reserved. Accessibility Statement - Sitemap × APPOINTMENT REQUEST At Canterbury Vision Care , we provide the highest quality Optometry care to all our patients. Schedule your appointment today. 8:00 am9:00 am10:00 am11:00 am1:00pm2:00pm3:00pm4:00pm Thank you. We will connect with you shortly. You are missing required fields. Dynamic Error Description There was an error processing this form. Close Roya1234 none 10:00 AM - 05:30 PM 9:00 AM - 05:00 PM 9:00 AM - 05:00 PM 9:00 AM - 05:30 PM 9:00 AM - 1:00 PM By Appointment Only Closed Closed × LOGIN Forgot Password? OR Sign in with Facebook Sign in with Google Looking to create an account ? Already have an account? Login × SAVE SEARCH × SAVED SEARCHES × MODAL TITLE One fine body… Close Save changes × UPDATE PROFILE Email Name Password Confirm Password