March | April 2009

A l s o I nT h I sI s s u e

Making the Most of health savings accounts

Reaching out With MoeyecaRe.oRg

Moa MeMbeRs on heaRt of aMeRica boaRd

haRtstein Receives 2009 hoacls vision seRvice aWaRd

Moa hosts glaucoMa education & scReening

neW MeMbeRs

calendaR of upcoMing events

MissouRi optoMetRic society RepoRts

MIdwesT eyecAre congressThe Midwest Eyecare Congress is scheduled for May 1-3 in St. Louis at the Union Station Marriott.

If you haven’t already registered, it’s not too late to sign up. The MOA will be hosting a non-MOA member reception on the opening evening of the event to encourage those optometrists who are not currently members of MOA to join this wonderful organization.

Full story, page 4.

MoA le A d e r s h I p re T r e A TMark your calendars and make plans to attend the MOA Leadership Retreat, at the Lake of the Ozarks on Friday and Saturday, May 29 and 30, 2009.

Highlights will include a roundtable discussion with industry alliance members on Friday followed by an MOA golfing event Friday afternoon. The golf outing will be followed by an evening reception and dinner.

Complete story, page 6.

March | April 2009

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March | April 2009

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pr e s I d e n T ’s Me s s A g e

As we move from the winter months and toss around the word “spring” (although lately it hasn’t felt like spring), many of you have already had your spring break. Likewise, the current legislators have been back a couple of weeks from their spring breaks and are headed towards a very busy six week time frame.

This is the time of year we have to keep our eyes and ears tuned in to what is happening in Jefferson City. There are many pieces of legislation that can move forward that are not in the best interest of our patients and may be a setback to our profession. These changes may happen very fast so we need to be ready at all times.

Although we have a very competent staff at the central office and strong informed lobbyists, it is not totally up to them to constantly be on the lookout. If you hear things from people in your community that might affect your patients’ welfare or our profession, please make the appropriate calls so the correct questions can be asked of the proper legislators. We are very fortunate to have two of our own—Rep. Steve Tilley and Rep. Terry Swinger—constantly watching and weighing in on decisions affecting us, and we appreciate their efforts.

I want to make everyone aware of the Midwest Eyecare Congress May 1-3 that we are co-sponsoring with the Illinois Optometric Association. This event may have a permanent spot on our calendar if it becomes successful. We will also be having a non-MOA member reception designed to get more involvement and membership from Missouri doctors who are not current MOA members. The continuing education will be top quality with Thomas and Melton leading the way with other very strong speakers. Remember that the requirement for continuing education hours has gone up so don’t let it slip up on you. Get your hours early with this conference, which happens to be in our state this year.

I hope by now many of you are aware of the topic and discussion being brought to all states by the Joint Board Certification Project Team addressing the issue of Board Certification. This team has spent two years researching this issue and would like to bring it up for discussion and direction at Optometry’s Meeting™ later this year in Washington D.C. This topic has heated up in the last three months with many questions being posed by AOA members and the subsequent attempts to respond to these questions by the project team.

Continued, see President’s Message page 19.

Wes Kemp, O.D., MOA President

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MI d w e s Tey e c A r eco n g r e s s The Midwest Eyecare Congress is scheduled for May 1-3 in St. Louis at the Union Station Marriott.

If you haven’t already registered, it’s not too late to sign up. The MOA will be hosting a non-MOA member reception on the opening evening of the event to encourage those optometrists who are not currently members of MOA to join this wonderful organization.

This year’s Midwest Eyecare Congress also presentas a great opportunity to get continuing education courses close to home, something that’s particularly helpful since the number of continuing education hours has gone up for Missouri’s optometrists.

This year’s MEC speakers include:

John McGreal, OD Ron Melton, OD, FAOO Carlo Pelino, OD, FAOO Joseph Pizzimenti, OD Randall Thomas, OD, FAOO William Townsend, OD John Warren, OD

This year the Missouri Optometric Association and Illinois Optometric Association are co-sponsoring the event, and the MEC may garner a permanent spot on the MOA’s calendar if it becomes successful.

•••••••

The Grand Hall at the Union Station Marriott in beautiful downtown St. Louis.

March | April 2009

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March | April 2009

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MoA le A d e r s h I p re T r e A TMark your calendars and make plans to attend the MOA Leadership Retreat, at the Lodge of the Four Seasons at Lake of the Ozarks on Friday and Saturday, May 29 and 30, 2009.

Highlights will include a roundtable discussion with industry alliance members on Friday followed by an MOA golfing event Friday afternoon. The golf outing will be followed by an evening reception and dinner.

On Saturday, we will be fortunate to have Dr. David Cockrell update us about the Board Certification proposal that will be presented for approval at the June AOA House of Delegates.

Other speakers include Representative Brian Nieves followed by a MOPAC discussion and MOA committee meetings. Following the MOA committee reports there will be an MOA Board of Directors meeting.

If you have not attended an MOA Leadership Retreat and you are interested in attending, then talk to your society trustee or the MOA main office. We look forward to seeing you at this year’s retreat.

Lodge of the Four Seasons, destination of the 2009 MOA Leadership Retreat

MOA Golfers at last year’s Leadership Retreat

March | April 2009

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March | April 2009

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MAkIng The MosT of heAlTh sAvIngs AccounTs A Health Savings Account (HSA) is a tax-exempt account in which funds accumulate to pay medical expenses. HSAs allow you to enjoy tax reductions while having affordable health insurance premiums, and they allow you to take control of your health care costs.

Health Savings Accounts create unique tax benefits for account holders. Contributions are 100% tax-deductible. Funds grow on a tax-deferred basis, and if the funds are used for eligible medical expense, the funds are tax-free. Funds roll over from year to year, and funds used after age 65 may be used tax-free for eligible medical expenses or at your normal tax rate for any other reason.

To be eligible for a Health Savings Account you must:

have a high deductible health plan (HDHP) that covers yourself or your family;have no other health coverage except what is permitted under “other health coverage;not be enrolled in Medicare; andnot be claimed as a dependent on someone else’s tax return.

An HDHP is a plan with an annual deductible of at least $1,150 for individual coverage or $2,300 for family coverage with a maximum out-of-pocket expense of $5,800 for individual and $11,600 for family. (2009 figures)

You may contribute up to $3,000 for an individual and $5,950 for a family. Catch-up contributions for those 55 and older are $1,000. (2009 figures)

Any eligible individual can contribute to an HSA. For an employee’s HSA, the employee, the employer, or both may contribute to the HSA in the same year. You choose when to make your contributions and how to invest them. The deadline for contributions is April 15th, the same as your tax filing deadline.

The account works with the ease of a checking account. You may use a debit card, checks, or online bill pay to pay for your medical expenses.

If you would like further information about HSAs, contact Loriel Dulle with Central Bank at 573-634-1243 or loriel_dulle@centralbank.net.

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••

March | April 2009

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reAchIng ouT wITh MoeyecAre.orgIn the past year, more than 50,000 people have visited the Missouri Optometric Association.

Don’t worry, the carpet in the building is still in great shape because those 50,000 people visited www.moeyecare.org, and they viewed nearly 150,000 different pages of the web site. The Web site is visited, on average, about 4,500 times each month and garners more than 12,000 page views.

Gina Prosch, principal at Lohman Hills Creative, said, “Lohman Hills began working with MOA six years ago when we first designed the MOA’s logo and developed the Web site. Over the years we’ve worked with the MOA to expand the site and offer more services to the public, as well as MOA members and potential members. Hundreds of people each month use the online doctor search, and since the MOA went to an online-only membership directory last summer, MOA members have done more than 5,000 searches.”

Some of the most frequently visited areas on the site relate to the Children’s Vision Law (CVL). The MOA’s CVL page and the PDF of the CVL brochure have each been accessed more than 4,200 times in the past year, and the CVL bookmarks more than 3,000 times.

The VISION, which went online in 2005, is another hugely popular area of the site. In addition to hundreds of people using the online version of VISION, the back-issue PDFs in the archives were requested more than 11,000 times. The VISION RSS feed, which was added last July, has already been visited more than 3,000 times.

“Without a doubt, a Web site is an organization’s single most public face,” Prosch said, “so it important that it be dressed for success.”

March | April 2009

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March | April 2009

MoA MeMbers on heArT of AMerIcA boArd The MOA is proud to announce that several of our members have been elected to the Heart of America Contact Lens Society’s Board of Directors.

•Elected to his first 2 year term: Dr. Brett King Lee’s Summit, Missouri •Elected to his second 2 year term: Dr. Delton Fast Nevada, Missouri •Elected to the position of President Elect: Dr. Larry Davis St. Charles, Missouri. •Serving as Past President: Dr. Joni LaFerla Weatherby Lake, Missouri

MosA MeMbers receIve scholArshIps

The Missouri Optometric Association congratulates Stephanie Erker and Ryan Read.

During the awards luncheon of the Heart of America Contact Lens Society, both Erker and Read were awarded $2,000 scholarships.

Both Erker amd Read attend the University of Missouri—St. Louis College of Optometry, and both are members of the Missouri Opometric Student Association.

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Dr. Brett King Dr. Delton Fast

Dr. Larry Davis Dr. Joni LaFerla

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hA r T s T e I n re c e I v e s 2009 hoAcls vI s I o n se r v I c e Aw A r d

The Heart of America Contact Lens Society (HOACLS) Vision Service Award is presented annually to an individual or group who exhibits extraordinary dedication and untiring service to the profession of optometry.

The 2009 honoree is no exception. The Board of Directors of the HOACLS is proud to present the 2009 Vision Service Award to Dr. Jack Hartstein.

Dr. Hartstein was born in St. Louis and served in the Navy during the early 1940s. After completing pre-medical training at Southern Methodist University, he enrolled in the Northern Illinois College of Optometry in Chicago, which later became known as the Illinois College of Optometry. He graduated from ICO in 1949.

Dr. Hartstein practiced optometry in St. Louis for two years, limiting his practice to contact lenses, before deciding to enter Medical School. He completed medical training at the University of Cincinnati School of Medicine in 1955, and subsequently completed an internship and residency at the St. Louis Hospital. He went on to complete a fellowship in Neuro-Ophthalmology at John Hopkins University.

Dr. Hartstein has numerous accomplishments including the following which are particularly noteworthy.

He was an innovator in the area of sclera contact lens designs and was one of the first people to use corneal rigid contact lenses.He has authored three books on contact lenses, one book on refraction, and one book on dyslexia.He wrote an article related to contact lenses published in 1965 titled “Corneal Warping Due to the Wearing of Contact Lenses – A Report of Twelve Cases.” This piece was one of the earliest descriptions of corneal warping in patients wearing “hard” contact lenses.He was also among the first to describe the possible association between contact lens wear and keratoconus.

See, Hartstein, page 20.

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•

•

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Dr. Joni LaFerla and 2009 Vision Service Award Winner Dr. Jack Hartstein

March | April 2009

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MoA do c T o r s o f op T o M e T r y ho s T A gl A u c o M A ed u c A T I o n & sc r e e n I n g AT T h e MI s s o u r I cA p I T o l bu I l d I n g The Missouri Department of Health and Senior Services invited the MOA to exhibit at the Health and Senior Services Education Day which was held Wednesday, March 4, 2009, at the Missouri State Capitol.

This event gave the Missouri Optometric Association an opportunity to educate others about glaucoma and the effect it has on the citizens of Missouri.

More than 46,000 Missourians suffer from irreversible vision loss due to glaucoma. The MOA and their member Doctors of Optometry are attempting to help reverse this vision loss by diagnosing and treating this disease. It is also the hope of the MOA to stop glaucoma’s progress in thousands of undiagnosed cases in Missouri.

The MOA had a booth set-up on the 3rd floor Rotunda of the Capitol and provided glaucoma testing for the capitol visitors, members of the General Assembly, and their staffs from 9 a.m. until 2 p.m.

The MOA offered a special thanks to Dr. Scott Burk of Buffalo, Dr. Tom Greene of Jefferson City, and Dr. James Hunt of Doniphan for volunteering their valuable time to help educate and check people for signs of glaucoma.

MOA Director, Dr. Lee Ann Barrett, and MOA staff member Jay Hahn were instrumental in getting the booth set-up and helping make sure the testing ran smoothly.

March | April 2009

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March | April 2009

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.

No Report Available.

greATer ozArk opToMeTrIc socIeTyTrustee: Scott M. Burks, O.D.

Since the last newsletter we have had two well attended meetings.

Our February society meeting was a business meeting that was used to inform the membership about the possible board certification.

Last month was our MOA presidential visit from Dr. Kemp and MOA Executive Director, Dr. Lee Ann Barrett. Dr. Kemp and Dr. Barrett brought us up to speed on the many issues concerning the MOA this year.

GOOS President Dr. Justin Hart has set up CE for our April 14th meeting in Springfield. We are planning a business meeting for May, but do not yet have a firm date.

kAnsAs cITy opToMeTrIc socIeTyTrustee: John Gelvin, O.D., F.A.A.O.

No Report Available.

norTheAsT opToMeTrIc socIeTyTrustee: Mindy Blackford, O.D.

Due to a family emergency with our scheduled speaker, the NEOS did not have a meeting in March.

We are looking forward to our Presidential visit on April 16 at the Pear Tree Restaurant in Bevier, Missouri.

Society Reports, continued page 16.

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March | April 2009

so c I e T y re p o r T s , cont inued from page 15

norThwesT opToMeTrIc socIeTyTrustee: Jeffrey H. Powell, O.D.

No Report Available

souTheAsT opToMeTrIc socIeTyTrustee: James Hunt, O.D.

The Southeast Optometric Society hosted its presidential visit on March 18 at the Hickory Log restaurant in Dexter, Missouri.

MOA President, Dr. Wes Kemp, and MOA Executive Director, Dr. Lee Ann Barrett, gave an update on issues affecting optometry, including the Joint Board Certification Project Team proposal. The MOA Leadership expressed an interest in finding out what the Missouri doctors of optometry thought about Board Certification and asked us to provide a survey to our members to express their views on the proposal. This information will help our Missouri delegation know the views of the Missouri AOA members when they vote on the proposal at the AOA National meeting this June in Washington, DC.

We would like to thank Dr. Scott McDougal of Cape Girardeau for his help getting the online survey prepared and made available to the SEOS doctors to use. All the anonymous survey information gathered from the SEOS optometrists has been sent to the MOA Leadership.

The next meeting of the SEOS will be hosted by SightPath Medical, on Tuesday, May 19, once again at the Hickory Log restaurant in Dexter.

souThwesT opToMeTrIc socIeTyTrustee: Erica Burton, O.D.

No Report Available.

Society Reports, continued page 17.

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March | April 2009

so c I e T y re p o r T s , cont inued from page 16

sT. louIs opToMeTrIc socIeTyTrustee: Jeffrey L. Weaver, O.D. | Associate Trustee: Thomas J. Cullinane, O.D.

The Saint Louis Optometric Society continues to meet monthly, the second Tuesday of the month, at the St. Louis Marriott West.

On January 13, 2009, Dr. Stephen Wexler presented “Refractive Surgery Update.” He reviewed the ten most relevant peer-reviewed journal articles published on refractive surgery in 2008. This event was sponsored by TLC Laser Centers.

The February 10, 2009, meeting featured Drs. John Crane and Ed Jarka discussing “Regenerative Ocular Medicine: 21st Century Eye Care?” This treatment uses stem cells or blood products to induce the repair of damaged or destroyed cell populations. The Eye and Vision Regeneration Group sponsored this event. SLOS also welcomed MOA President, Dr. Wes Kemp, and MOA Executive Director, Dr. LeeAnn Barrett, during their annual visit this evening.

On March 8, 2009, Dr. Ian “Ben” Gaddie lectured on “Dry Eye Disease: Lids, Inflammation & Management.” His talk featured a review of causes of dry eye, both local and systemic, and he shared his cookbook approach for treatment. Inspire Pharmaceuticals generously sponsored this event.

SLOS welcomes members and prospective members to join us on Tuesday, April 14. Drs. Kevin Greuloch and Melissa Massey will discuss “The Newest Generation of Intraocular Lenses,” and the event will be sponsored by Alcon.

Noteworthy: The spring conference for Missouri Association of School Nurses will be held April 18-19 at Westport Sheraton Chalet. Dr. Mark Curtis from Warrensburg will be spearheading an exhibit regarding vision and eye health on Saturday, April 18. SLOS members will be participating in this event to help convey optometry’s position about vision screenings and examinations.

St. Louis is looking forward to being the host city for the Midwest Eyecare Congress, May 1-3, 2009. SLOS members will be active in the special reception for non-MOA members on Friday, May 1. Please register at www.midwesteyecarecongress.com, and join your colleagues from St. Louis and all across the North Central States for this exciting event.

Society Reports, continued page 19.

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March | April 2009

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Don’t Miss Out

Make Your Plans Now!

March | April 2009

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 WCOS will be meeting with President Wes Kemp on Tuesday, April 7, in Warrensburg for our annual presidential visit. The topics discussed will be current MOA issues and the Board Certification process that is presently occurring at the national level.

presIdenT’s MessAge, continued from page 3

Please be aware that I am trying to discuss this issue with the local societies on my presidential visits. The delegates representing the MOA will have to assess the information being presented to them and make a judgment at the meeting. The MOA is trying to have open discussions with all its members so feel free to email concerns or comments to the central office. There is nothing set in stone at this time as to what will be presented.

There will be many potential changes occurring on the national healthcare scene, and we need to be ever vigilant as to where optometry is going to fit in. The AOA is making sure that optometry is represented at the discussions currently taking place.

One final note is that we have rented out the basement of our building, so we are now completely full with tenants. A big thanks to the Administrative Services Committee and MOA central office. The hard work of everyone involved is appreciated.

Things are still looking up for optometry and the MOA; make the best of it you can!

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hA r T s T e I n , cont inued from page 12

In the late 1980s Dr. Hartstein, along with Dr. Rex Ghormley, began to explore the idea of bringing together a small group of St. Louis ODs and MDs to discuss contact lens practice and technology and to share ideas to improve patient care. Those discussions led to the formation of the MD-OD Contact Lens Foundation of St. Louis. Since the early 1990s, this group of optometrists and ophthalmologists meets regularly as eye care professionals in the spirit of mutual respect and cooperation.

Dr. Hartstein’s 50 years as an eye care professional has made a better career for all of us who practice this wonderful profession, and most importantly he has helped us better meet the needs of the patients we serve.

welcoMe new MeMbers

The Missouri Optometric Association is pleased to announce the following new member. Please introduce yourself the next time you see her at an MOA sponsored event!

• Melissa S. Massey, 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!

• Teresa L. Davis • Kelly K. Rosemann

March | April 2009

2009

May 1 - 3Midwest Eyecare CongressUnion Station MarriottSt. Louis, Missouri

May 29-31MOA Leadership RetreatLodge of the Four SeasonsLake Ozark, Missouri

June 24-28Optometry’s Meeting™Washington, D.C.

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

Optometry’s Meeting™ 2012 – 2014

June 27-July 1, 2012Chicago, Illinois

June 26-30, 2013San Diego, California

June 25-29, 2014 Philadelphia, Pennsylvania

March | April 2009

sTAff

Executive DirectorLeeAnn Barrett, O.D.moaed@moeyecare.org

Finance ManagerLinda McDowelllinda@moeyecare.org

Executive AssistantJay Hahnjay@moeyecare.org

offIcers

PresidentWesley D. Kemp, O.D.P: 417/777-9000weskemp@windstream.net

President-ElectRyan H. Powell, O.D.P: 816/476-4017drpowell@insighteyecarespecialties.com

TreasurerDuane ThompsonP: 660/258-7409datbat@cebridge.net

SecretaryDebbie Hettler, O.D.P: 573/814-6575dhett@aol.com

Immediate Past PresidentGregory J. Goetzinger, O.D.P: 417/359-0600eyedrg@carthagevisionclinic.com

le A d e r s h I p & sT A f f

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Governmental Relations ConsultantsJerry W. BurchP: 573/636-4599jburch@embarqmail.com

J. Scott Marrs P: 573/636-5873smarrs@embarqmail.com

Legal CounselMarc H. EllingerP: 573/634-2500mellinger@blitzbardgett.com

March | April 2009

Southeast Society (9)James M. Hunt, O.D.P: 573/996-3937drhunt204@yahoo.com

Southwest Society (7)Erica S. Burton, O.D.P: 417/682-3301sbeyecare@sbcglobal.net

St. Louis Society (6)Jeffrey L. Weaver, O.D.P: 314/991-4244jlweaver@aoa.org

St. Louis Society - Associate TrusteeThomas J. Cullinane, O.D.P: 314/579-0909seeingme@sbcglobal.net

West Central Society (4)Jason S. Lake, O.D.P: 660/747-2000lake.od@juno.com

Tr u s T e e s

Central Society (5)Jeffrey M. Gamble, O.D.P: 573/874-2030jmgamble@socket.net

Greater Ozark Society (8)Scott M. Burks, O.DP: 417/345-2901smbod1@gmail.com

Kansas City Society (3)John B. Gelvin, O.DP: 816/525-3937jgelvin@omnikc.com

Northeast Society (2)Mindy M. Blackford, O.D.P: 660/665-6262mindymblackford@hotmail.com

Northwest Society (1)Jeffrey H. Powell, O.D.P: 660/582-4022jpowell@unitedsky.net23

March | April 2009

co M M I T T e e sAdministrative ServicesRob Bernskoetter, O.D.P: 573/874-2030rbern@socket.net

Affiliated OrganizationsKenneth C. Detring, O.D.P: 573/243-2020detring@yahoo.com

Clinical/EducationalBradley C. Lewis, O.D.P: 417/886-5444bradclewis@gmail.com

Coordinating CommitteeWesley D. Kemp, O.D.P: 417/777-9000weskemp@windstream.net

Convention PlanningDebbie Hettler, O.D.P: 573/814-6575dhett@aol.com

Governmental AffairsTom CulllinaneP: 314/579-0909seeingme@sbcglobal.net

Membership ServicesScott Ream, O.D.P: 417/264-7418sream1@aol.com

Public RelationsKyle Brost, O.D.P: 573/334-8595drbrost@charter.net

Third Party PaymentsRich Wilson, O.D.P: 816/353-1872rwilson@bso-ae.com

Af f I l I A T e d or g A n I z A T I o n sParaoptometric ChairCherie HarrisP:573/334-2020cherie_harris@hotmail.com

MOAA PresidentBeth ThompsonP:660/258-7409datbat@cebridge.net

MOF PresidentRex Newcomb, O.D.P: 417/468-6682rands289@msn.com

State Board PresidentJames Bureman, O.D.P: 417/887-3900jbureman@missourieyecare.com

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March | April 2009

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March | April 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: 573/446-9122lbarrettod@sbcglobal.net

James M. Hunt, O.D.204 Washington StDoniphan, Missouri 63935P: 573/996-3937F: 573/996-3937drhunt204@yahoo.com

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.

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