http://rieye.ema.md/ema/pay/onlinepay
Last Checked: Dec 22, 2023, 10:52 EST
| IP Address: | 18.155.202.61 |
| ASN #: | AS16509 AMAZON-02, US |
| Location: | Unknown, Unknown, Unknown |
| URL Reputation: |
|
Domain name: ema.md
Domain state: OK
Registered on: 2010-05-03
Expires on: 2028-05-03
Nameserver: ns-264.awsdns-33.com
Nameserver: ns-1190.awsdns-20.org
-
GET0 Timed out waiting for a response.
https://www.google.com/recaptcha/api2/bframe?hl=en&v=u-xcq3POCWFlCr3x8_IPxgPu&k=6LfDLTQUAAAAANEtVv-uKlqvX3s3TPYAA7xnEy4g
- http://rieye.ema.md/ema/pay/onlinepay https://rieye.ema.md/ema/pay/onlinepay
<html xml:lang="en" prefix="og: http://ogp.me/ns#" lang="en"><head><meta http-equiv="origin-trial" content="Az520Inasey3TAyqLyojQa8MnmCALSEU29yQFW8dePZ7xQTvSt73pHazLFTK5f7SyLUJSo2uKLesEtEa9aUYcgMAAACPeyJvcmlnaW4iOiJodHRwczovL2dvb2dsZS5jb206NDQzIiwiZmVhdHVyZSI6IkRpc2FibGVUaGlyZFBhcnR5U3RvcmFnZVBhcnRpdGlvbmluZyIsImV4cGlyeSI6MTcyNTQwNzk5OSwiaXNTdWJkb21haW4iOnRydWUsImlzVGhpcmRQYXJ0eSI6dHJ1ZX0=">
<link rel="shortcut icon" href="/ema/static/images/favicon.ico">
<link rel="stylesheet" type="text/css" href="/ema/static/css/ema-css-vars.default.less.min.css?build=7.4.3.1&rev=295b8765c8">
<link rel="stylesheet" type="text/css" href="/ema/static/css/custom-theme/jquery.default.less.min.css?build=7.4.3.1&rev=295b8765c8">
<link rel="stylesheet" type="text/css" href="/ema/static/css/bootstrap.default.less.min.css?build=7.4.3.1&rev=295b8765c8">
<link rel="stylesheet" type="text/css" href="/ema/static/css/ema.css?build=7.4.3.1&rev=295b8765c8">
<link rel="stylesheet" type="text/css" href="/ema/static/css/ema-main.default.less.min.css?build=7.4.3.1&rev=295b8765c8">
<link rel="stylesheet" type="text/css" href="/ema/static/css/brand/common/angular/angular.default.less.min.css?build=7.4.3.1&rev=295b8765c8">
<title>Quick Pay | ReFocus Eye Health of Rhode Island LLC</title>
<meta property="og:image" content="https://rieye.ema.md/ema/ws/v3/firm/logo/LOGIN">
<meta charset="utf-8">
<meta property="og:url" content="https://rieye.ema.md/ema/pay/onlinepay">
<meta property="og:title" content="Rhode Island Eye Institute: Pay">
<meta property="og:site_name" content="Rhode Island Eye Institute">
<meta property="og:type" content="website">
<link rel="stylesheet" href="/ema/static/angular/styles.7a3422a24aaacd20.css" media="all" onload="this.media='all'" charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta name="description" content="Quickly and easily make an online payment for ReFocus Eye Health of Rhode Island LLC">
<style>.floaty-background[_ngcontent-mks-c1380]{overflow:auto;position:fixed;top:0;left:0;width:100%;height:100%;background:url(/ema/static/angular/network-left.084e48efecf20474.jpg) left 10px no-repeat,url(/ema/static/angular/network-right.6bd6faa1bed766a7.jpg) right top no-repeat;background-size:20%,20%;background-color:#fff}div.floaty-box-page-container[_ngcontent-mks-c1380]{display:flex;flex-direction:column;align-items:center;height:90%}div.floaty-box-page-container[_ngcontent-mks-c1380] .floaty-box[_ngcontent-mks-c1380]{position:relative;margin:0 auto;padding:1.5em 0 15px;background-color:#fff;height:auto;box-shadow:0 10px 30px #0000001a;border-radius:10px;margin-top:5vh}@media only screen and (max-width: 500px){div.floaty-box-page-container[_ngcontent-mks-c1380] .floaty-box[_ngcontent-mks-c1380]{width:100%;margin-top:0}}@media only screen and (min-width: 501px) and (max-width: 900px){div.floaty-box-page-container[_ngcontent-mks-c1380] .floaty-box[_ngcontent-mks-c1380]{width:94%}}@media only screen and (min-width: 901px){div.floaty-box-page-container[_ngcontent-mks-c1380] .floaty-box[_ngcontent-mks-c1380]{width:717px}}</style><style>form.unauthenticated-form[_ngcontent-mks-c1375] .ng-untouched[_ngcontent-mks-c1375]{box-shadow:none}form.unauthenticated-form[_ngcontent-mks-c1375] .unauth-field__message--error[_ngcontent-mks-c1375]{color:var(--ema-R3)}form.unauthenticated-form[_ngcontent-mks-c1375] label[_ngcontent-mks-c1375], form.unauthenticated-form[_ngcontent-mks-c1375] div[_ngcontent-mks-c1375]{font-size:16px}form.unauthenticated-form[_ngcontent-mks-c1375] .border--red[_ngcontent-mks-c1375]{border:1px solid var(--ema-R3);border-radius:5px}.unauth-horizontal-line[_ngcontent-mks-c1375]{height:1px;background-color:var(--ema-G2);margin-bottom:10px}.unauth-form__group-header[_ngcontent-mks-c1375]{font-size:20px;font-weight:600;margin-top:18px}.qp-grid-main[_ngcontent-mks-c1375]{display:grid;grid-template-columns:repeat(20,1fr)}.qp-grid-main[_ngcontent-mks-c1375] input[type=radio][_ngcontent-mks-c1375]{margin-right:3px}.qp-grid-main[_ngcontent-mks-c1375] mmpay-facility-info-header[_ngcontent-mks-c1375]{margin-top:23px;grid-column-start:1;grid-column-end:21;grid-row-start:4}.qp-grid-main[_ngcontent-mks-c1375] mmpay-outstanding-balance[_ngcontent-mks-c1375]{margin-top:20px;grid-column-start:3;grid-column-end:18;grid-row-start:5}.qp-grid-main[_ngcontent-mks-c1375] .server-errors[_ngcontent-mks-c1375]{grid-column-start:3;grid-column-end:18;grid-row-start:3;margin-top:10px}.qp-grid-main[_ngcontent-mks-c1375] .patient-group[_ngcontent-mks-c1375]{grid-column-start:1;grid-column-end:21;grid-row-start:6;display:grid;grid-template-columns:repeat(20,1fr)}.qp-grid-main[_ngcontent-mks-c1375] .patient-group[_ngcontent-mks-c1375] .patient-group-header[_ngcontent-mks-c1375]{grid-column-start:3;grid-column-end:18;grid-row-start:4}.qp-grid-main[_ngcontent-mks-c1375] .patient-group[_ngcontent-mks-c1375] .patient-group-header-line[_ngcontent-mks-c1375]{grid-column-start:3;grid-column-end:18;grid-row-start:5}.qp-grid-main[_ngcontent-mks-c1375] .patient-group[_ngcontent-mks-c1375] .patient-first-name[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:12;grid-row-start:6}.qp-grid-main[_ngcontent-mks-c1375] .patient-group[_ngcontent-mks-c1375] .patient-first-name--error[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:7}.qp-grid-main[_ngcontent-mks-c1375] .patient-group[_ngcontent-mks-c1375] .qp__patient-last-name[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:12;grid-row-start:8}.qp-grid-main[_ngcontent-mks-c1375] .patient-group[_ngcontent-mks-c1375] .patient-last-name--error[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:10}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375]{grid-column-start:1;grid-column-end:21;grid-row-start:7;display:grid;grid-template-columns:repeat(20,1fr)}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .account-group-header[_ngcontent-mks-c1375]{grid-column-start:3;grid-column-end:16;grid-row-start:1}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .account-group-header-line[_ngcontent-mks-c1375]{grid-column-start:3;grid-column-end:18;grid-row-start:2}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp__invoice-pan-select-instructions[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:17;grid-row-start:4}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375]{grid-column-start:1;grid-column-end:21;grid-row-start:5;display:grid;grid-template-columns:repeat(20,1fr)}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-conditional__invoice-input[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:8;grid-row-start:1}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-conditional__invoice-input-grid[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:2;display:grid;grid-template-columns:repeat(20,1fr);grid-template-rows:repeat(20,auto)}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-conditional__invoice-input-grid[_ngcontent-mks-c1375] .qp-invoice-input__invoice-number-label[_ngcontent-mks-c1375]{grid-column-start:2;grid-column-end:12;grid-row-start:1}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-conditional__invoice-input-grid[_ngcontent-mks-c1375] .qp-invoice-input__invoice-number-error[_ngcontent-mks-c1375]{grid-column-start:2;grid-column-end:12;grid-row-start:2}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-conditional__invoice-input-grid[_ngcontent-mks-c1375] .qp-invoice-input__dob-label[_ngcontent-mks-c1375]{grid-column-start:2;grid-column-end:12;grid-row-start:3}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-conditional__invoice-input-grid[_ngcontent-mks-c1375] .qp-invoice-input__dob-label-error[_ngcontent-mks-c1375]{grid-column-start:2;grid-column-end:12;grid-row-start:4}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-pan-grid[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:7;display:grid;grid-template-columns:repeat(20,1fr)}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-pan-grid[_ngcontent-mks-c1375] .qp-pan-grid__pan[_ngcontent-mks-c1375]{grid-column-start:2;grid-column-end:12;grid-row-start:2}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-pan-grid[_ngcontent-mks-c1375] .qp-pan-grid__pan-error[_ngcontent-mks-c1375]{grid-column-start:2;grid-column-end:21;grid-row-start:3}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-pan-grid[_ngcontent-mks-c1375] .qp-pan-grid__pan-retype[_ngcontent-mks-c1375]{grid-column-start:2;grid-column-end:12;grid-row-start:4}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-pan-grid[_ngcontent-mks-c1375] .qp-pan-grid__pan-retype--req-error[_ngcontent-mks-c1375], .qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-pan-grid[_ngcontent-mks-c1375] .qp-pan-grid__pan-retype--match-error[_ngcontent-mks-c1375]{grid-column-start:2;grid-column-end:21;grid-row-start:5}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-conditional__pan-option[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:6}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-conditional__patient_dob[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:3}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-patient_dob-grid[_ngcontent-mks-c1375]{grid-column-start:5;grid-column-end:21;grid-row-start:4}.qp-grid-main[_ngcontent-mks-c1375] .account-group[_ngcontent-mks-c1375] .qp-conditional-selector-grid[_ngcontent-mks-c1375] .qp-patient-dob-label[_ngcontent-mks-c1375]{grid-column-start:2;grid-column-end:12;grid-row-start:4}.qp-grid-main[_ngcontent-mks-c1375] .payment-amount-group-header[_ngcontent-mks-c1375]{grid-column-start:3;grid-column-end:21;grid-row-start:16}.qp-grid-main[_ngcontent-mks-c1375] .payment-amount-group-header-line[_ngcontent-mks-c1375]{grid-column-start:3;grid-column-end:18;grid-row-start:17}.qp-grid-main[_ngcontent-mks-c1375] .payment-amount-group[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:18}.qp-grid-main[_ngcontent-mks-c1375] .payment-amount-group--max-error[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:19}.qp-grid-main[_ngcontent-mks-c1375] .payment-amount-group--min-error[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:20}.qp-grid-main[_ngcontent-mks-c1375] .payment-amount-group--req-error[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:22}.qp-grid-main[_ngcontent-mks-c1375] .qp-contact-info-group-header[_ngcontent-mks-c1375]{grid-column-start:3;grid-column-end:21;grid-row-start:23}.qp-grid-main[_ngcontent-mks-c1375] .qp-contact-info-group-header-line[_ngcontent-mks-c1375]{grid-column-start:3;grid-column-end:18;grid-row-start:24}.qp-grid-main[_ngcontent-mks-c1375] .qp-contact-info-group[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:12;grid-row-start:25}.qp-grid-main[_ngcontent-mks-c1375] .qp-contact-info-group--error[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:17;grid-row-start:26}.qp-grid-main[_ngcontent-mks-c1375] .qp__email-group[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:17;grid-row-start:27}.qp-grid-main[_ngcontent-mks-c1375] .qp__email-group--error[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:17;grid-row-start:28}.qp-grid-main[_ngcontent-mks-c1375] mmpay-recaptcha[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:21;grid-row-start:29;margin-top:15px;margin-bottom:15px}.qp-grid-main[_ngcontent-mks-c1375] .qp__submit-btn[_ngcontent-mks-c1375]{grid-column-start:4;grid-column-end:9;grid-row-start:31}</style><style>[_nghost-mks-c1371]{display:grid;grid-template-columns:repeat(20,1fr)}.practice-info-logo[_ngcontent-mks-c1371]{grid-column-start:2;grid-column-end:11;grid-row-start:1}.practice-info-address[_ngcontent-mks-c1371]{grid-column-start:13;grid-column-end:20;grid-row-start:1;font-size:16px;font-weight:600}mmpay-unauthenticated-title-bar[_ngcontent-mks-c1371]{padding-left:23px;margin-top:23px;background-color:var(--ema-P1);font-size:24px;font-weight:600;grid-column-start:1;grid-column-end:21;grid-row-start:4}@media only screen and (max-width: 500px){.practice-info-logo[_ngcontent-mks-c1371]{grid-column-start:1;grid-column-end:21;grid-row-start:1}.practice-info-address[_ngcontent-mks-c1371]{grid-column-start:1;grid-column-end:21;grid-row-start:2;margin-top:15px}}</style><style>.recaptcha-error[_ngcontent-mks-c1374]{color:var(--ema-R3);margin-top:5px}</style><style>.text-align--center[_ngcontent-mks-c1368]{text-align:center;color:var(--ema-P5);font-size:3rem}img[_ngcontent-mks-c1368]{max-width:322px;max-height:151px}@media screen and (max-device-width: 600px){img[_ngcontent-mks-c1368]{max-width:280px}}</style><style>.text-align--center[_ngcontent-mks-c1369]{text-align:center!important}.location-header-text[_ngcontent-mks-c1369]{text-align:center!important;font-size:16px;font-weight:600;margin-top:2.5px;margin-bottom:2.5px}</style><style>@media only screen and (max-width: 500px){*[_ngcontent-mks-c1370]{font-size:16px}.main-title[_ngcontent-mks-c1370], .secondary-title[_ngcontent-mks-c1370]{display:block}.title-delimiter[_ngcontent-mks-c1370]{display:none}}</style><style>.ema-alert[_ngcontent-mks-c97]{display:flex;justify-content:center;margin-bottom:5px;background-color:#fff}.ema-alert[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97]{width:50px;padding:4px;display:flex;flex-direction:column;justify-content:center;align-items:center;border-top-left-radius:3px;border-bottom-left-radius:3px}.ema-alert[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97] .ema-alert-img[_ngcontent-mks-c97]{width:30px;height:30px;display:block}.ema-alert[_ngcontent-mks-c97] .title-banner[_ngcontent-mks-c97]{font-weight:600;font-size:13px;color:var(--ema-G9);padding:4px}.ema-alert[_ngcontent-mks-c97] .ema-alert-container-rounded[_ngcontent-mks-c97]{border-radius:0 3px 3px 0}.ema-alert[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97]{flex:1 0;display:inline;flex-direction:column;justify-content:center;padding:8px;border:solid 1px var(--ema-G2);border-top-right-radius:3px;border-bottom-right-radius:3px;border-left:none}.ema-alert[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97] .ema-alert-body[_ngcontent-mks-c97]{font-size:13px;white-space:inherit;color:var(--ema-G9)}.ema-alert[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97] .ema-alert-body[_ngcontent-mks-c97] div[_ngcontent-mks-c97]{padding-left:4px}.ema-alert[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97] .ema-alert-body[_ngcontent-mks-c97] a[_ngcontent-mks-c97]{font-weight:600}.ema-alert[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97] .ema-alert-body[_ngcontent-mks-c97] ul[_ngcontent-mks-c97], .ema-alert[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97] .ema-alert-body[_ngcontent-mks-c97] ul[_ngcontent-mks-c97] .standard[_ngcontent-mks-c97]{margin:0;padding-top:4px}.ema-alert[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97] .ema-alert-body[_ngcontent-mks-c97] li[_ngcontent-mks-c97]{padding-left:0;padding-bottom:4px}.ema-alert[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97] .ema-alert-body[_ngcontent-mks-c97] > *[_ngcontent-mks-c97]{line-height:normal}.ema-alert[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97] .ema-alert-body[_ngcontent-mks-c97] > *[_ngcontent-mks-c97]:not(:last-of-type){padding-bottom:5px}.ema-alert-tier1[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97]{background-color:var(--ema-OR2)}.ema-alert-tier1[_ngcontent-mks-c97] .ema-alert-logo-rounded[_ngcontent-mks-c97]{border-radius:3px 0 0 3px}.ema-alert-tier1[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97]{background-color:var(--ema-warning-background-color)}.ema-alert-tier2[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97]{background-color:var(--ema-C2)}.ema-alert-tier2[_ngcontent-mks-c97] .ema-alert-logo-rounded[_ngcontent-mks-c97]{border-radius:3px 0 0 3px}.ema-alert-tier3[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97]{background-color:var(--ema-G3)}.ema-alert-tier3[_ngcontent-mks-c97] .ema-alert-logo-rounded[_ngcontent-mks-c97]{border-radius:3px 0 0 3px}.ema-alert-tier4[_ngcontent-mks-c97]{background:transparent}.ema-alert-tier4[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97]{display:none}.ema-alert-tier4[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97]{border:none;padding:5px 0}.ema-alert-tier4[_ngcontent-mks-c97] .ema-alert-container[_ngcontent-mks-c97] .ema-alert-body[_ngcontent-mks-c97]{color:var(--ema-B1);font-size:15px;font-weight:600}.ema-alert-error[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97]{background-color:var(--ema-R3)}.ema-alert-error[_ngcontent-mks-c97] .ema-alert-logo-rounded[_ngcontent-mks-c97]{border-radius:3px 0 0 3px}.ema-alert-success[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97]{background-color:var(--ema-GR4)}.ema-alert-success[_ngcontent-mks-c97] .ema-alert-logo-rounded[_ngcontent-mks-c97]{border-radius:3px 0 0 3px}.ema-alert-bill-link[_ngcontent-mks-c97]{padding-left:7px}.ema-alert-in-progress[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97]{background-color:var(--ema-C1)}.ema-alert-in-progress[_ngcontent-mks-c97] .ema-alert-logo-rounded[_ngcontent-mks-c97]{border-radius:3px 0 0 3px}.ema_alert-attention[_ngcontent-mks-c97] .ema-alert-logo[_ngcontent-mks-c97]{background-color:var(--ema-OR2)}.ema_alert-attention[_ngcontent-mks-c97] .ema-alert-logo-rounded[_ngcontent-mks-c97]{border-radius:3px 0 0 3px}</style></head>
<body class="bootstrap" id="m2body" style="overflow:hidden;">
<div id="app-content">
<div class="ema-container" id="app-main">
<div id="quickpayApp" class="bootstrap">
<ema-app class="bootstrap" entry="/pm/payfac/pay" should-json-parse="true" data="{"recaptchaKey":"6LfDLTQUAAAAANEtVv-uKlqvX3s3TPYAA7xnEy4g","businessUnitName":"ReFocus Eye Health of Rhode Island LLC","locationName":"Providence 2","shouldDisplayBalance":false,"addressRenderingMode":"BUSINESS_UNIT_NAME_AND_LOCATION_INFORMATION","locationZip":"02906-5131","locationStreet1":"150 East Manning Street","locationPhone":"(401) 272-2020","patientFirstLastDob":true,"language":"en","recaptchaUrl":"https://www.google.com/recaptcha/api.js","strictPatientIdentification":true,"invoiceNumberDob":true,"patientFirstLastMrn":true,"userLoggedIn":false,"openGraphUrl":"https://rieye.ema.md/ema/pay/onlinepay","firmName":"Rhode Island Eye Institute","locationState":"RI","openGraphImage":"https://rieye.ema.md/ema/ws/v3/firm/logo/LOGIN","locationCity":"Providence"}" ng-version="13.3.11"><router-outlet></router-outlet><mmpm-floaty-box _nghost-mks-c1380=""><div _ngcontent-mks-c1380="" class="floaty-background"><div _ngcontent-mks-c1380="" class="floaty-box-page-container"><div _ngcontent-mks-c1380="" class="floaty-box"><router-outlet _ngcontent-mks-c1380="" name="floaty_outlet"></router-outlet><mmpm-quick-pay-landing _nghost-mks-c1375=""><form _ngcontent-mks-c1375="" novalidate="" class="qp-grid-main unauthenticated-form ng-untouched ng-pristine ng-invalid"><mmpay-facility-info-header _ngcontent-mks-c1375="" maintitle="Pay Online" _nghost-mks-c1371=""><mmpay-location-header-logo _ngcontent-mks-c1371="" class="firm-info-margin-left practice-info-logo" _nghost-mks-c1368=""><div _ngcontent-mks-c1368="" class="text-align--center"><img _ngcontent-mks-c1368="" alt="Location Logo" class="firm-logo" src="/ema/ws/v3/firm/logo/LOGIN"><!----></div><!----></mmpay-location-header-logo><mmpay-location-header-address _ngcontent-mks-c1371="" class="practice-info-address" _nghost-mks-c1369=""><div _ngcontent-mks-c1369="" class="text-align--center"><div _ngcontent-mks-c1369=""><h1 _ngcontent-mks-c1369="" class="location-header-text">ReFocus Eye Health of Rhode Island LLC</h1></div><!----><div _ngcontent-mks-c1369=""><h2 _ngcontent-mks-c1369="" class="location-header-text">Providence 2</h2></div><div _ngcontent-mks-c1369=""><h2 _ngcontent-mks-c1369="" class="location-header-text"></h2></div><div _ngcontent-mks-c1369="" class="text-align--center"><div _ngcontent-mks-c1369="">150 East Manning Street</div><div _ngcontent-mks-c1369=""></div><div _ngcontent-mks-c1369=""></div><div _ngcontent-mks-c1369="">Providence, RI 02906-5131</div><div _ngcontent-mks-c1369="">(401) 272-2020</div></div></div></mmpay-location-header-address><mmpay-unauthenticated-title-bar _ngcontent-mks-c1371="" _nghost-mks-c1370=""><span _ngcontent-mks-c1370="" class="main-title"> Pay Online
</span><!----><!----></mmpay-unauthenticated-title-bar></mmpay-facility-info-header><!----><div _ngcontent-mks-c1375="" class="patient-group"><div _ngcontent-mks-c1375="" class="server-errors"><ema-alert-banner-ng _ngcontent-mks-c1375="" _nghost-mks-c97=""><div _ngcontent-mks-c97="" class="ema-alert ema-alert-error hidden"><div _ngcontent-mks-c97="" class="ema-alert-logo"><div _ngcontent-mks-c97="" class="ema-alert-img"></div></div><div _ngcontent-mks-c97="" class="ema-alert-container"><!----><span _ngcontent-mks-c97="" class="ema-alert-body"><div _ngcontent-mks-c1375="">Unable to find account.</div><div _ngcontent-mks-c1375="">Please check the fields and try again.</div></span></div></div></ema-alert-banner-ng></div><div _ngcontent-mks-c1375="" class="unauth-form__group-header patient-group-header">Patient</div><div _ngcontent-mks-c1375="" class="unauth-horizontal-line patient-group-header-line"></div><label _ngcontent-mks-c1375="" class="patient-first-name"><div _ngcontent-mks-c1375="">Patient First Name<span _ngcontent-mks-c1375="" class="requiredFieldIndicator">*</span></div><input _ngcontent-mks-c1375="" type="text" formcontrolname="patientFirstName" ema-trim="" maxlength="50" class="form-control ng-untouched ng-pristine ng-invalid"></label><!----><label _ngcontent-mks-c1375="" class="qp__patient-last-name"><div _ngcontent-mks-c1375="">Patient Last Name<span _ngcontent-mks-c1375="" class="requiredFieldIndicator">*</span></div><input _ngcontent-mks-c1375="" type="text" formcontrolname="patientLastName" ema-trim="" maxlength="50" class="form-control ng-untouched ng-pristine ng-invalid"></label><!----></div><!----><div _ngcontent-mks-c1375="" class="account-group"><div _ngcontent-mks-c1375="" class="unauth-form__group-header account-group-header">Account</div><div _ngcontent-mks-c1375="" class="unauth-horizontal-line account-group-header-line"></div><div _ngcontent-mks-c1375="" formgroupname="invoicePanGroup" class="qp-conditional-selector-grid ng-untouched ng-pristine ng-invalid"><div _ngcontent-mks-c1375="" class="qp-conditional__invoice-input"><input _ngcontent-mks-c1375="" type="radio" id="qp-invoice-radio" formcontrolname="qpPatientMatching" class="ng-untouched ng-pristine ng-valid"><label _ngcontent-mks-c1375="" for="qp-invoice-radio">Invoice</label></div><!----><div _ngcontent-mks-c1375="" formgroupname="invoicePatientDobGroup" class="qp-conditional__invoice-input-grid ng-untouched ng-pristine ng-invalid"><label _ngcontent-mks-c1375="" class="qp-invoice-input__invoice-number-label"><div _ngcontent-mks-c1375="">Invoice Number<span _ngcontent-mks-c1375="" class="requiredFieldIndicator">*</span></div><input _ngcontent-mks-c1375="" type="text" formcontrolname="invoiceNumber" maxlength="25" class="form-control ng-untouched ng-pristine ng-invalid"></label><!----><label _ngcontent-mks-c1375="" class="qp-invoice-input__dob-label"><div _ngcontent-mks-c1375="">Patient Date of Birth<span _ngcontent-mks-c1375="" class="requiredFieldIndicator">*</span></div><div _ngcontent-mks-c1375="" class="input-group datepicker-input-group"><span _ngcontent-mks-c1375="" class="input-group-addon"><span _ngcontent-mks-c1375="" class="glyphicon glyphicon-calendar clickable"></span></span><input _ngcontent-mks-c1375="" type="text" placeholder="mm/dd/yyyy" bsdatepicker="" formcontrolname="patientDob" class="form-control ng-untouched ng-pristine ng-invalid"><!----></div></label><!----></div><!----><div _ngcontent-mks-c1375="" class="qp-conditional__patient_dob"><input _ngcontent-mks-c1375="" type="radio" id="qp-patient-dob-radio" formcontrolname="qpPatientMatching" class="ng-untouched ng-pristine ng-valid"><label _ngcontent-mks-c1375="" for="qp-invoice-radio">Patient Date of Birth</label></div><!----><!----><div _ngcontent-mks-c1375="" class="qp-conditional__pan-option"><input _ngcontent-mks-c1375="" type="radio" id="qp-patient-acct-radio" formcontrolname="qpPatientMatching" class="ng-untouched ng-pristine ng-valid"><label _ngcontent-mks-c1375="" for="qp-patient-acct-radio">Patient Account Number</label></div><!----><!----></div></div><!----><div _ngcontent-mks-c1375="" class="unauth-form__group-header payment-amount-group-header">Payment Amount</div><div _ngcontent-mks-c1375="" class="unauth-horizontal-line payment-amount-group-header-line"></div><label _ngcontent-mks-c1375="" class="qp__payment-payment-label payment-amount-group"><div _ngcontent-mks-c1375="">Payment Amount<span _ngcontent-mks-c1375="" class="requiredFieldIndicator">*</span></div><div _ngcontent-mks-c1375="" class="input-group"><span _ngcontent-mks-c1375="" class="input-group-addon">$</span><input _ngcontent-mks-c1375="" type="number" step=".01" ema-currency-number="" formcontrolname="paymentAmount" class="ng-untouched ng-pristine ng-invalid"></div></label><!----><!----><!----><div _ngcontent-mks-c1375="" class="unauth-form__group-header qp-contact-info-group-header">Your Contact Information</div><div _ngcontent-mks-c1375="" class="unauth-horizontal-line qp-contact-info-group-header-line"></div><label _ngcontent-mks-c1375="" class="qp-contact-info-group"><div _ngcontent-mks-c1375="">Phone Number<span _ngcontent-mks-c1375="" class="requiredFieldIndicator">*</span></div><input _ngcontent-mks-c1375="" type="tel" formcontrolname="phoneNumber" placeholder="( ) - " ema-phone-number-mask="" maxlength="14" class="form-control ng-untouched ng-pristine ng-invalid"></label><!----><!----><label _ngcontent-mks-c1375="" class="qp__email-group"><div _ngcontent-mks-c1375="">Email</div><input _ngcontent-mks-c1375="" type="email" formcontrolname="emailAddress" maxlength="100" class="form-control ng-untouched ng-pristine ng-valid"></label><!----><mmpay-recaptcha _ngcontent-mks-c1375="" _nghost-mks-c1374=""><div _ngcontent-mks-c1374="" id="mmpay__captcha" class="mmpay__captcha g-recaptcha"><div style="width: 304px; height: 78px;"><div><iframe title="reCAPTCHA" role="presentation" name="a-z9dhcfdxpjcz" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation" src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LfDLTQUAAAAANEtVv-uKlqvX3s3TPYAA7xnEy4g&co=aHR0cHM6Ly9yaWV5ZS5lbWEubWQ6NDQz&hl=en&v=u-xcq3POCWFlCr3x8_IPxgPu&size=normal&cb=ot1oxgji196m" width="304" height="78" frameborder="0"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea></div><iframe style="display: none;"></iframe></div><!----></mmpay-recaptcha><button _ngcontent-mks-c1375="" class="btn btn-primary qp__submit-btn" disabled="">Next</button></form></mmpm-quick-pay-landing><!----></div></div></div></mmpm-floaty-box><!----></ema-app>
</div>
</div>
</div>
<script type="text/javascript" async="" src="https://www.gstatic.com/recaptcha/releases/u-xcq3POCWFlCr3x8_IPxgPu/recaptcha__en.js" crossorigin="anonymous" integrity="sha384-CDkofqMo6hSAPRh2TZj9HOLusb5hze4z6vkh6YWvd810w+KTuT5lucK9hQN36Xh7"></script><script src="/ema/static/angular/runtime.8dddc2e66bf9db53.js" type="module" charset="utf-8"></script><script src="/ema/static/angular/polyfills.471beb8bb3d552bf.js" type="module" charset="utf-8"></script><script src="/ema/static/angular/scripts.cae06c30d00d2c25.js" defer="" charset="utf-8"></script><script src="/ema/static/angular/vendor.84f2b7bf35ae428f.js" type="module" charset="utf-8"></script><script src="/ema/static/angular/main.b65eeb312d4ee34e.js" type="module" charset="utf-8"></script>
<script src="https://www.google.com/recaptcha/api.js?render=explicit&onload=oncaptchaload" async="" defer=""></script><div style="background-color: rgb(255, 255, 255); border: 1px solid rgb(204, 204, 204); box-shadow: rgba(0, 0, 0, 0.2) 2px 2px 3px; position: absolute; transition: visibility 0s linear 0.3s, opacity 0.3s linear 0s; opacity: 0; visibility: hidden; z-index: 2000000000; left: 0px; top: -10000px;"><div style="width: 100%; height: 100%; position: fixed; top: 0px; left: 0px; z-index: 2000000000; background-color: rgb(255, 255, 255); opacity: 0.05;"></div><div style="border: 11px solid transparent; width: 0px; height: 0px; position: absolute; pointer-events: none; margin-top: -11px; z-index: 2000000000;" class="g-recaptcha-bubble-arrow"></div><div style="border: 10px solid transparent; width: 0px; height: 0px; position: absolute; pointer-events: none; margin-top: -10px; z-index: 2000000000;" class="g-recaptcha-bubble-arrow"></div><div style="z-index: 2000000000; position: relative;"><iframe title="recaptcha challenge expires in two minutes" style="width: 100%; height: 100%;" name="c-z9dhcfdxpjcz" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation" src="https://www.google.com/recaptcha/api2/bframe?hl=en&v=u-xcq3POCWFlCr3x8_IPxgPu&k=6LfDLTQUAAAAANEtVv-uKlqvX3s3TPYAA7xnEy4g" frameborder="0"></iframe></div></div></body></html>
