Dr. Susan Keene is originally from southwest Virginia. She graduated from Emory & Henry College with a Bachelors degree in Biology. She received her Doctorate of Optometry from the Pennsylvania College of Optometry. She has been in practice in Marion since 1992. Dr. Keene is a past president of the Virginia Optometric Association, and received the VOA’s Optometrist of the Year Award in 2008. She practices full-scope optometry at Envision Eye Care, and particularly enjoys contact lens fitting and the treatment of ocular disease. She is currently accepting new patients at the offices in Cedar Bluff and Marion, VA.​​​​​​​

Bio's Coming Soon!​​​​​​​

Dr. Shannon Howell-Pennington was born and raised in Chilhowie, Virginia. She earned her undergraduate degree in biology at UVA Wise before earning her O.D. at the Pennsylvania College of Optometry. Her interest in optometry started with her very first pair of glasses, which changed her life so drastically that she became determined to help others achieve their best vision. While in optometry school, Dr. Howell-Pennington became interested in the medical side of optometry, developing a passion for eye disease management and exploring new innovations in the field. Outside of work, Dr. Howell-Pennington enjoys going to church, reading, and spending time outdoors and with her family and friends. At Envision Eye Care, Dr. Howell-Pennington practices full-scope eye care for patients of all ages, pediatric through geriatric.​​​​​​​

Dr. Lucas Spiker practices full-scope optometry at Envision Eye Care. He enjoys working with patients of all ages and providing attentive care to improve their vision, preserve their health, and restore their quality of life. Dr. Spiker is passionate about specialty contact lenses and enjoys seeing how much they improve the lives of patients who struggle with complex vision issues and have trouble wearing regular contacts. Dr. Spiker has a decade of experience fitting scleral contact lenses as well as other types of specialty contact lenses. Dr. Spiker is a member of the Virginia Optometric Association as well as the American Optometric Association. He graduated from Bethany College in Kansas with a bachelor’s degree in biology in 2004. In 2009, he obtained his Doctorate in Optometry degree from Southern College of Optometry in Memphis, Tennessee, where he was a member of the Beta Sigma Kappa Honor Society. In his spare time, Dr. Spiker enjoys spending time with his family. His wife, Dr. Amy Blue, is also an optometrist, and they have a son and daughter who keep them very busy. He enjoys playing golf, fishing, and spending as much time outdoors as he can.​​​​​​​

Dr. Tanisha Perlmutter grew up in Minnesota and earned her bachelor’s degree from Carthage College where she studied biology and neuroscience. She attended Southern College of Optometry where she earned her Doctorate of Optometry. She is a member of the American Optometric Association. She is excited to be in the Southwest Virginia/East Tennessee region now and has been having fun exploring this beautiful area. She enjoys seeing patients of all ages and providing full scope comprehensive eye care. She particularly likes managing ocular disease and ensuring patients leave the office understanding more about their eye health.​​​​​​​

Dr. Amy Blue is originally from Oneida, Tennessee. She received her Bachelor’s degree in chemistry from East Tennessee State University. She then attended the Southern College of Optometry in Memphis, Tennessee where she obtained her Doctorate in Optometry degree. She completed internships at Bethesda Naval Hospital in Washington D.C. and Primary Eyecare Group in Brentwood, Tennessee. Dr. Blue practices full-scope optometry at Envision Eye Care with patients of all ages. She is an Infantsee provider and enjoys her pediatric patients. Dr. Amy Blue is a member of the Virginia Optometric Association as well as the American Optometric Association.​​​​​​​