Lack of hygiene in the office, long waits, and a rude doctor that lacks good bedside manner MOST of the time. She looked at my 2 year olds eyes with some device for 30 seconds (which I did not ask her to do) and she billed me $300 for that "eye exam". They finally reduced it to $65 which was still unacceptable. They have no problem making you wait for 2 hours in a small dirty room to see the doctor.