Document:

LIMITED LIABILITY COMPANY AGREEMENT

                      OF NEW YORK LASER MANAGEMENT, L.L.C.
     Organized under the Delaware Limited Liability Company Act (the "Act").

                                   ARTICLE I.

                                NAME AND LOCATION

     Section 1.1. Name. The name of this limited  liability  company is New York
Laser Management, L.L.C. (the "Company").

         Section  1.2.  Members.  The  only  members  of the  Company  upon  the
execution of this Limited Liability Company Agreement (this  "Agreement")  shall
be Ken Moadel,  M.D.  ("Moadel"),  and Prime RVC,  Inc., a Delaware  corporation
("Prime").  For purposes of this  Agreement,  the  "Members"  shall include such
named  members  and any new  members  admitted  pursuant  to the  terms  of this
Agreement,  but does not  include  any  person or entity  who has ceased to be a
member in the Company.

     Section 1.3. Principal  Offices.  The principal office of the Company shall
be located at 1301 Capital of Texas Hwy., Suite C-300,  Austin, Texas 78746-6550
and or at such other locations as may be selected by the Members.

     Section 1.4. Registered Agent and Address. The name of the registered agent
and the  address  of the  registered  office of the  Company as set forth in the
Certificate of Formation of the Company are:

                          The Corporation Trust Company

                          1209 Orange Street

                          Wilmington, Delaware 19801

     Section 1.5.  Other  Offices.  Other  offices and other  locations  for the
transaction of business shall be located at such places as the Managers may from
time to time determine.

         Section 1.6  Contribution  Agreement.  The Company was initially formed
with a single member,  Moadel,  for the purpose of consummating the transactions
contemplated by that certain Contribution  Agreement dated effective as of April
1, 2000,  by and among Prime  Medical  Services,  Inc.,  a Delaware  corporation
("PMSI"),  Prime,  P.C. d/b/a New York Eye Specialists,  a New York professional
corporation, Moadel, and the Company (the "Contribution Agreement"). The parties
have  executed  this  Agreement   concurrent   with  the   consummation  of  the
transactions   contemplated  by  the  Contribution  Agreement.   This  agreement
supercedes  and replaces any prior  membership  agreement or other  governing or
organizational document of the Company other than the Certificate of Formation.

                                   ARTICLE II.

                                   MEMBERSHIP

     Section 2.1. Members' Interests.  The "Membership  Interest" of each Member
is set forth on Exhibit A.

         Section 2.2.  Admission  to  Membership.  The  admission of new Members
shall be only by the vote of the Managers pursuant to Section 8.9 hereof. If new
Members are admitted,  this Agreement  shall be amended to reflect each Member's
revised Membership Interest.

     Section 2.3.  Property  Rights.  No Member shall have any right,  title, or
interest in any of the property or assets of the Company.

         Section 2.4.  Liability of Members.  No Member of the Company  shall be
personally  liable for any debts,  liabilities,  or  obligations of the Company,
including  under a  judgment  decree,  or order of court,  except  as  expressly
provided otherwise in an agreement between the Member and the Company or another
party.

         Section 2.5.  Transferability of Membership.  Except as provided below,
Membership  Interests in the Company are  transferable  only with the  unanimous
written  consent  of all  Members.  If such  unanimous  written  consent  is not
obtained when  required,  the  transferee  shall be entitled to receive only the
share of  profits  or other  compensation  by way of  income  and the  return of
contributions  and  distributions of available  earnings to which the transferor
Member otherwise would be entitled.

         Notwithstanding  the  foregoing,  the following  shall not be deemed to
violate any provision of this Agreement (each, a "Permitted Transfer"):  (i) the
Membership Interests of Prime may be freely transferred, without consent, to any
entity that is then owned or controlled, directly or indirectly, by PMSI (or its
successor in interest), (ii) the Membership Interests of Prime (or any affiliate
of Prime that is a Permitted  Transferee of such  Membership  Interests)  may be
transferred  pursuant to and in accordance with Section 4.7 of the  Contribution
Agreement,  (iii) the Membership Interests of any Member may be freely assigned,
pledged or otherwise transferred, without consent, to secure any debt, liability
or obligation owed to Prime by the Company,  any Member or any entity affiliated
with the  Company,  (iv) the  Membership  Interests  of any Member may be freely
assigned,  pledged or otherwise  transferred,  without consent,  in favor of the
Lender(s)  under,  or by the  Lender(s)  as a result of the  enforcement  of any
security  interest  arising  pursuant to, those certain Credit  Facilities  (the
"Credit Facilities") of PMSI and/or any of PMSI's  subsidiaries,  (v) the pledge
by Moadel of his right to receive  distributions  from the Company in respect of
his  Membership  Interest,  and (vi) the  Membership  Interests of Moadel may be
transferred  (A) to a trust or trusts (a  "Permitted  Trust") for the benefit of
Moadel and/or members of Moadel's immediate family (including an entity owned by
a Permitted  Trust) but only where Moadel  either  controls the trust or retains
during his  lifetime  the  exclusive  ability to vote the  Membership  Interests
(pursuant to a written proxy or other instrument  reasonably  acceptable in form
and  substance  to  Prime),  (B) to an entity  (a  "Permitted  Entity")  that is
wholly-owned,  directly  or  indirectly,  by Moadel  and/or  members of Moadel's
immediate  family,  but only where Moadel either  controls the entity or retains
during his  lifetime  the  exclusive  ability to vote the  Membership  Interests
(pursuant to a written proxy or other instrument  reasonably  acceptable in form
and substance to Prime),  or (C) from a Permitted  Trust or Permitted  Entity to
Moadel.

         In  addition,  after the  expiration  of the four (4) year  period (the
"Toll Period")  immediately  following the Closing Date (as such term is defined
in the Contribution Agreement),  Moadel shall be entitled to give a two (2) year
notice of his intent to sell all or any  portion of his  Membership  Interest at
the expiration of the two (2) year  notification  period to one or more New York
licensed  ophthalmologists  that are primarily engaged in Refractive Surgery and
reasonably  acceptable  to  Prime  (and  such  transfer  shall  be a  "Permitted
Transfer").  Notwithstanding the foregoing, the Toll Period and the two (2) year
notice  requirements  shall not  apply if (a) the  physician  transferee  of the
Membership  Interest being transferred by Moadel will own less than five percent
(5%) of the total  outstanding  Membership  Interests  of the Company  after the
transfer,  (b) the physician  transferee is reasonably  acceptable to Prime, and
(c) the  physician  transferee  executes  both an exclusive  use agreement and a
non-compete  agreement containing terms and provisions  substantially similar to
those  contained in Section 9.2 and Section 9.3 of the  Contribution  Agreement,
except that (i) the term of the  non-compete  agreement shall end one year after
such  transferee  ceases its use of Newco's  offices and equipment,  and if such
cessation of use occurs within three years of such  transferee's  receipt of the
equity  interest,  then such  transferee must forfeit the equity interest for no
consideration  and  (ii) it  shall  not be  necessary  to  include  a  provision
requiring such physician to transferee  devote his or her full business time and
attention  to  rendering  professional  opthalmic  and medical  services for any
period  of time  or in any  location  following  such  cessation  of use by such
physician  transferee.  If  the  recipient  of  the  Membership  Interest  being
transferred  by  Moadel  will own  more  than  five  percent  (5%) of the  total
outstanding Membership Interests of the Company (after the transfer), then, as a
condition to any such transfer,  the physician  transferee  must execute both an
exclusive  use  agreement  and a  non-compete  agreement  containing  terms  and
provisions  substantially  similar to those contained in Section 9.2 and Section
9.3 of the Contribution Agreement.

         As an express condition to any transfer by any Member or any transferee
of any Member, the proposed transferee shall have agreed in writing, in form and
substance  reasonably  satisfactory to the non-transferring  Members,  that such
proposed  transferee  will be bound by all of the terms and  provisions  of this
Agreement,  the Contribution Agreement (including Restrictive Covenants found in
Article  IX  thereto)  and any other  Transaction  Document  (as  defined in the
Contribution  Agreement)  which by reasonable  implication are applicable to the
Membership  Interest being transferred and not solely the transferring Member as
a party to the Contribution  Agreement.  Notwithstanding any other provisions of
this Agreement, if Moadel dies or becomes incapacitated and can no longer manage
his affairs, Moadel's executor, administrator,  conservator,  guardian, trustee,
personal  representative,  or the holder of a power of attorney  from Moadel may
exercise all of the rights of Moadel under this  Agreement,  including the right
to vote, to designate a Manager, and to receive  distributions.  In the event of
Moadel's  death,  Moadel's  Membership  Interest  shall  transfer  to,  and this
Agreement shall be binding upon (to the extent such provisions may be reasonably
applied  to a Member  who is not a  licensed  ophthalmologist)  and inure to the
benefit  of,  Moadel's  heirs or  legatees,  including,  if  applicable,  to the
beneficiaries  of a  Permitted  Trust,  whether  by  the  laws  of  descent  and
distribution,  operation of law or otherwise,  each of whom shall be a Permitted
Transferee of Moadel's Membership Interest.

         Section  2.6.  Withdrawal  of  Members.  Except in the case of Moadel's
death or  permanent  disability  (as such term is  defined  in the  Contribution
Agreement),  and  without  limiting a Member's  ability to  complete a Permitted
Transfer,  a Member may not withdraw as a Member from the Company  except on the
unanimous consent of the remaining Members. The terms of the Member's withdrawal
shall  be  determined  by  agreement  between  the  remaining  Members  and  the
withdrawing Member.

                                  ARTICLE III.

                                MEMBERS' MEETINGS

         Section  3.1.  Time and Place of Meeting.  All  meetings of the Members
shall be held at such  time and at such  place  within or  without  the State of
Delaware as shall be determined by the Managers.

         Section 3.2. Annual  Meetings.  In the absence of an earlier meeting at
such  time and place as the  Managers  shall  specify,  annual  meetings  of the
Members shall be held at the  principal  office of the Company on the date which
is thirty  (30) days after the end of the  Company's  fiscal year if not a legal
holiday,  and if a legal holiday,  then on the next full business day following,
at 10:00 a.m.,  at which  meeting the Members may transact  such business as may
properly be brought before the meeting.

     Section  3.3.  Special  Meetings.  Special  meetings  of the Members may be
called at any time by any Member.  Business transacted at special meetings shall
be confined to the purposes stated in the notice of the meeting.

         Section 3.4.  Notice.  Written or printed notice stating the place, day
and hour of any Members'  meeting,  and, in the case of a special  meeting,  the
purpose or purposes for which the meeting is called, shall be delivered not less
than ten (10) days nor more than thirty (30) days before the date of the special
meeting,  either  personally  or by mail,  by or at the  direction of the person
calling the meeting, to each Member entitled to vote at such meeting. If mailed,
such notice shall be deemed to be delivered three (3) days after it is deposited
in the United  States  mail,  postage  prepaid,  to the Member at such  Member's
address as it appears on the records of the Company at the time of mailing.

         Section 3.5. Quorum. Members present in person or represented by proxy,
holding  more than fifty  percent  (50%) of the total votes which may be cast at
any meeting  shall  constitute  a quorum at all  meetings of the Members for the
transaction  of  business.  If,  however,  such  quorum  shall not be present or
represented at any meeting of the Members, the Members entitled to vote, present
in person or represented by proxy,  shall have power to adjourn the meeting from
time to time,  without notice other than  announcement  at the meeting,  until a
quorum shall be present or represented. When any adjourned meeting is reconvened
and a quorum shall be present or  represented,  any  business may be  transacted
which might have been  transacted at the meeting as originally  noticed.  Once a
quorum is constituted,  the Members present or represented by proxy at a meeting
may  continue  to  transact  business  until  adjournment,  notwithstanding  the
subsequent  withdrawal therefrom of such number of Members as to leave less than
a quorum.

         Section 3.6. Voting.  Members shall be required to vote in instances or
with respect to matters where member voting is required by applicable  law or to
the extent  expressly  set forth in this  Agreement.  With respect to any act or
transaction  that  requires a vote by the  Members  under  applicable  law,  the
affirmative  vote or  written  consent  of two of the  three  Managers  shall be
required in order to approve the act or transaction,  in each instance.  Subject
to the  foregoing,  when a quorum is  present  at any  meeting,  the vote of the
Members,  whether present or represented by proxy at such meeting,  holding more
than fifty  percent  (50%) of the total  votes  which may be cast at any meeting
shall be the act of the  Members,  unless  the  vote of a  different  number  is
required by the Act, the  Certificate  of  Formation  or this Limited  Liability
Company Agreement. Each Member shall be entitled to one vote for each percentage
point  represented by their  Membership  Interest.  Fractional  percentage point
interests shall be entitled to a corresponding  fractional  vote. The provisions
of this Section shall not interfere  with the provisions of Section 8.9 relating
to  acts or  transactions  requiring  the  written  approval  of two (2) or more
Managers, one of which must be a Manager designated by Moadel.

         Section  3.7.  Proxy.  Every  proxy must be  executed in writing by the
Member or by his duly authorized  attorney-in-fact,  and shall be filed with the
Secretary of the Company prior to or at the time of the meeting.  No proxy shall
be  valid  after  eleven  (11)  months  from the  date of its  execution  unless
otherwise  provided  therein.  Each proxy shall be  revocable  unless  expressly
provided therein to be irrevocable and unless otherwise made irrevocable by law.

         Section 3.8.  Action by Written  Consent.  Subject to the provisions of
Section 8.9, any action  required or permitted to be taken at any meeting of the
Members may be taken  without a meeting if a consent in writing,  setting  forth
the action so taken, shall be signed by all of the Members entitled to vote with
respect to the subject  matter  thereof,  and such  consent  shall have the same
force and effect as a unanimous vote of Members.

         Section 3.9. Meetings by Conference Telephone.  Members may participate
in and hold  meetings  of Members by means of  conference  telephone  or similar
communications  equipment  by means of which all  persons  participating  in the
meeting  can  hear  each  other,  and  participation  in  such a  meeting  shall
constitute   presence  in  person  at  such  meeting,   except  where  a  person
participates  in the  meeting  for  the  express  purpose  of  objecting  to the
transaction  of any  business  on the ground  that the  meeting is not  lawfully
called or convened.

                                   ARTICLE IV.

                        MEMBERSHIP CAPITAL CONTRIBUTIONS

         Section 4.1. Capital Contributions.  Each Member has contributed to the
Company  the  assets  set forth in  Schedule  A.  Schedule A sets forth the fair
market  value of the assets  contributed  to the Company by each  Member,  which
amount  shall be  credited to each  Member's  Capital  Account as their  initial
capital  contribution.  Capital  Accounts shall be maintained in accordance with
Treasury Regulations 1.704-1(b) and -2 and shall be interpreted and applied in a
manner  consistent  therewith.  The Managers  shall have the power to amend this
Agreement as may be reasonably necessary to comply with such regulations. Except
for each Member's  initial  capital  contribution  made in  connection  with the
formation of the Company, and except as provided in the Contribution  Agreement,
no capital  contributions  shall be required of any Member without the unanimous
approval  of all  the  Members  to  raise  additional  capital,  and  only  then
proportionately as to each Member.

         Section 4.2. Deficit Capital Account Balances.  Upon liquidation of the
Company,  no Member with a deficit balance in his Capital Account shall have any
obligation to restore such deficit  balance,  or to make any contribution to the
capital of the Company.

         Section 4.3. Tax Matters  Partner.  The Managers  shall  designate  one
Manager by majority  vote to act as the tax matters  partner  (the "TMP") of the
Company (as defined in the Code), and the TMP is hereby  authorized and required
to represent the Company,  or designate  another person or firm to represent the
Company,  (in each  case,  at the  Company's  expense)  in  connection  with all
examinations of the Company's  affairs by tax authorities,  including  resulting
administrative  and  judicial  proceedings,  and to  expend  Company  funds  for
professional services and costs associated  therewith.  The initial TMP shall be
Teena Belcik.  The Members agree to cooperate with the TMP and its designee,  if
any,  and to do or refrain from doing any or all things  reasonably  required by
the TMP or its designee,  if any, to conduct such proceedings.  The Company will
reimburse the TMP and any such designee for all expenses  incurred in connection
with its  duties  as TMP and any costs  associated  with any  administrative  or
judicial proceeding with respect to the tax liabilities of the Members.

                                   ARTICLE V.

                             DISTRIBUTION TO MEMBERS

         At the end of each calendar quarter, subject only to the qualifications
and limitations set forth below, the Company shall, unless provided otherwise in
accordance  with Section  8.9(b) or Section  8.9(c),  distribute  its  Available
Excess  Earnings (as  hereinafter  defined) to its members,  to be divided among
them in  accordance  with their  Membership  Interests as set forth on Exhibit A
hereto. As used herein,  "Available Excess Earnings" shall mean and refer to all
cash and cash  equivalents of the Company that would not be reasonably  required
in order to (a) satisfy all  accounts  payable  and payment  obligations  of the
Company that will become due in the ordinary  course  within thirty (30) days of
the date of  determination  (assuming  no  receipt  of  additional  cash or cash
equivalents  during  such  ninety  (30) day  period) or (b)  establish  adequate
reserves to satisfy  liabilities or obligations of the Company that are foreseen
and can be reasonably  estimated on the date of determination.  Distributions in
kind shall be made on the basis of agreed  value as  determined  by the Managers
pursuant to Section 8.9(b)(xvii). Notwithstanding the foregoing, the Company may
not make a distribution to its Members in respect of their Membership  Interests
to the extent that,  immediately  after giving effect to the  distribution,  all
liabilities of the Company,  other than  liabilities to the Members with respect
to their  interests  and  liabilities  for which the  recourse of  creditors  is
limited  to  specified  property  of the  Company,  exceed the fair value of the
Company  assets;  except  that the fair  value of  property  that is  subject to
liability for which  recourse of creditors is limited,  shall be included in the
Company  assets only to the extent that the fair value of the  property  exceeds
that  liability.   Notwithstanding  the  foregoing  the  Company  may  not  make
distributions  to its Members in respect of their  Membership  Interests,  other
than required Quarterly Tax Distributions (as hereinafter  defined),  if amounts
are owed under the Acquisition Line (as defined in the Contribution Agreement).

         As long as no party  other than PMSI or Prime is in  default  under the
Contribution  Agreement or any other Transaction  Document,  then, to the extent
that (but only to the extent that) the Company possesses the cash flow necessary
(in  the  reasonable  discretion  of a  majority  of its  managers)  to pay  its
liabilities in the ordinary course  consistent with past practices,  the Company
agrees to make  quarterly  estimates  of its taxable  income for the current tax
year and, if not prohibited by law,  distribute  quarterly  (the  "Quarterly Tax
Distributions")  an amount that would cover the federal and state  income  taxes
required to be paid by its members with respect  such taxable  income,  based on
each member's then current proportionate interest in the Company,  assuming that
all members pay income taxes on the Company's  taxable  earnings at a rate equal
to the  highest  effective  individual  tax rate in  effect  from  time to time;
provided, further, that the Company shall determine its actual taxable income at
the end of each taxable year and (A) if the  Quarterly  Tax  Distributions  in a
given year should have been higher based on the amount of actual  taxable income
for that year,  promptly  distribute  the amounts  necessary to  eliminate  such
deficiency or (B) if the Quarterly Tax Distributions in a given year should have
been lower  based on the  amount of actual  taxable  income  for that year,  and
amounts are owed under the Acquisition Line, withhold dollar for dollar from the
first  following  Quarterly  Tax  Distribution,   and  then  against  subsequent
Quarterly Tax Distributions in a like manner, the amounts necessary to eliminate
such surplus.

                                   ARTICLE VI.

                      ALLOCATION OF NET PROFITS AND LOSSES

         For  accounting  and income tax  purposes,  all items of income,  gain,
loss, deduction and credit of the Company for any fiscal year shall be allocated
between the Members in accordance with their respective  Membership Interests as
set forth on  Exhibit  A hereto,  except  as may be  otherwise  required  by the
Internal  Revenue  Code  of  1986,  as  amended,  and the  Treasury  Regulations
promulgated  thereunder,  in which case, the Members agree to restructure  their
relationship  in a manner that  preserves  their  respective  economic  benefits
intended under the Contribution Agreement and other Transaction Documents.

                                  ARTICLE VII.

                           DISSOLUTION AND WINDING UP

     Section 7.1.  Dissolution.  Notwithstanding  any  provision of the Act, the
Company shall be dissolved only upon the first of the following to occur:

     (a) Forty (40) years from the date of filing the  Certificate  of Formation
of the Company; or

     (b) Written consent of all the then current Members to dissolution.

     (c) The  bankruptcy  of a Member,  unless  there is at least one  remaining
Member and such  Member or, if more than one  remaining  Member,  all  remaining
Members agree to continue the Company and its business.

     (d) The sale of all or substantially all of the assets of the Company.

         Section 7.2.  Winding Up. In the event of  dissolution  of the Company,
the Managers  (excluding any Manager holding office pursuant to designation by a
Member subject to bankruptcy proceedings) shall wind up the Company's affairs as
soon as reasonably  practicable.  On the winding up of the Company, the Managers
shall pay and/or transfer the assets of the Company in the following order:

     (a) In  discharging  liabilities  (including  loans from  Members)  and the
expenses of concluding the Company's affairs; and

                  (b) The balance,  if any,  shall be distributed to the Members
         in  accordance  with  the  positive  balances  of the  Members  Capital
         Accounts. Upon dissolution and distribution of the Company assets, such
         distributed  assets shall be deemed sold with the  resulting net income
         or net loss being  allocated  among the Members and credited or debited
         to their respective Capital Accounts pursuant to Articles IV and VI.

                                  ARTICLE VIII.

                                    MANAGERS

         Section 8.1. Selection of Managers.  Management of the Company shall be
vested in the  Managers.  Initially,  the Company shall have three (3) Managers,
being Brad Hummel and Teena Belcik (as the initial Manager  designees of Prime),
and Ken Moadel,  M.D. (as the initial Manager  designee of Moadel).  Thereafter,
for so long as there are three (3)  Managers,  (a) Prime  shall be  entitled  to
designate two (2) of the Managers; and (b) Moadel shall be entitled to designate
the remaining one (1) Manager. Notwithstanding the foregoing, a Member shall not
be entitled to designate any Manager unless its Membership Interest: (y) has not
(other than as allowed under Section 2.5 of this  Agreement)  been  transferred,
repurchased,  assigned,  pledged,  hypothecated or in any way alienated; and (z)
equals  or  exceeds  the  Required  Percent  (as  defined  in  the  Contribution
Agreement)  of the  aggregate  Membership  Interests  (after  including  in such
determination all Membership Interests held by the Permitted Transferees of such
Member);  provided,  however,  that the foregoing limitations shall not apply in
the event the parties restructure their relationship  pursuant to this Agreement
in an effort to comply with any  applicable  law, rule or regulation  that makes
such  restructuring  necessary.  Subject to Section 8.3 of this  Agreement,  the
Members may, by unanimous  vote of all  Members,  from time to time,  change the
number of  Managers of the Company  and remove or add  Managers  accordingly.  A
Manager  shall  serve as a  Manager  until  his or her  resignation  or  removal
pursuant  to  Section  8.2 or 8.3 of this  Article  VIII.  Managers  need not be
residents of the State of Delaware or Members of the Company.

         Section 8.2. Resignations.  Each Manager shall have the right to resign
at any time upon  written  notice of such  resignation  to the  Members.  Unless
otherwise  specified in such written notice,  the resignation  shall take effect
upon the  receipt  thereof,  and  acceptance  of such  resignation  shall not be
necessary to make same effective.  The Member who designated a resigning manager
shall be entitled to designate the successor  thereto without any further action
by the Members or other Managers. If any action of the Members is required under
applicable  law,  the Members  agree to take such action and any other action as
may be necessary  from time to time to effectuate the provisions of this Section
8.2.

         Section 8.3.  Removal of Managers.  Any Manager may be removed,  for or
without cause,  at any time, but only by the Member who designated such Manager,
upon the written notice to all Members.  The Member who designated  such removed
Manager shall be entitled to designate the successor  without any further action
by the Members or other Managers. If any action of the Members is required under
applicable  law,  the Members  agree to take such action and any other action as
may be necessary  from time to time to effectuate the provisions of this Section
8.3.

         Section 8.4. General Powers.  Subject to the provisions of Section 8.9,
the business of the Company shall be managed by its Managers,  which may, by the
vote or written consent in accordance with this Agreement,  exercise any and all
powers of the  Company and do any and all such lawful acts and things as are not
by the Act, the  Certificate  of Formation  or this  Limited  Liability  Company
Agreement  directed  or  required  to be  exercised  or  done  by  the  Members,
including,  but not limited to,  contracting  for or  incurring on behalf of the
Company debts,  liabilities  and other  obligations,  without the consent of any
other person, except as otherwise provided herein.

     Section 8.5. Place of Meetings.  The Managers of the Company may hold their
meetings,  both  regular  and  special,  either  within or without  the State of
Delaware.

         Section 8.6. Annual Meetings.  The annual meeting of the Managers shall
be held without further notice  immediately  following the annual meeting of the
Members, and at the same place, unless by unanimous consent of the Managers that
such time or place shall be changed.

     Section 8.7. Regular Meetings. Regular meetings of the Managers may be held
without  written  notice at such  time and  place as shall  from time to time be
determined by the Managers.

     Section  8.8.  Special  Meetings.  Special  meetings of the Managers may be
called by any Manager on seven (7) days notice to each Manager, with such notice
to be given personally, by mail or by telecopy.

         Section 8.9.      Quorum and Voting.

                  (a) At all  meetings of the  Managers the presence of at least
         two (2) Managers  shall be necessary  and  sufficient  to  constitute a
         quorum for the transaction of business,  and the affirmative vote of at
         least a majority of the Managers  present at any meeting at which there
         is a  quorum  shall  be  the  act  of the  Managers,  except  as may be
         otherwise specifically provided by the Act, the Contribution Agreement,
         the Certificate of Formation or this  Agreement.  If a quorum shall not
         be present at any meeting of Managers,  the Managers  present there may
         adjourn  the  meeting  from  time to time  without  notice  other  than
         announcement at the meeting, until a quorum shall be present.

                  (b) In  addition  to the  other  provision  contained  in this
         Agreement requiring the unanimous vote of the Members or the consent of
         Moadel  or  Moadel's  designated  Manager,  as long as Moadel is not in
         material breach of this Agreement,  the  Contribution  Agreement or any
         other  Transaction  Document (subject to any applicable right to cure),
         the following acts or transactions by, or involving,  the Company shall
         require the prior written  consent of two (2) or more Managers,  one of
         which must be the Manager designee of Moadel;  provided,  however, that
         no written  consent of any party is required  under this  subsection to
         take a  particular  action if (but only to the extent that) such action
         is required to be taken pursuant to the express terms and provisions of
         the  Contribution  Agreement  or  any  Transaction  Document,  provided
         further,   that  the   provisions  of  this  Section  shall   terminate
         automatically  upon Moadel's  Membership  Interest  dropping  below the
         Required Percent of all outstanding Membership Interests:

     i. Purchase by the Company of any interest in the Company,  irrespective of
the source of such interest.

                           ii. Disposition,  sale,  assignment or other transfer
         by the Company of any interest it owns in the Company, except that such
         interest may be extinguished  without the approval  required under this
         Article.

     iii. Issuance of any interest in the Company to any party.

     iv. Hiring or changing the Company's accountants or legal counsel.

     v. The Company's entering into a materially different line of business.

     vi.  Entering into a transaction or other action with any Manager,  officer
or Member, or affiliate thereof.

                           vii.  Taking any other action which,  by the terms of
         this Agreement or applicable  law,  requires the approval or consent of
         not less than sixty-six percent (66%) of the Members.

     viii.  Any  amendment  to the  Company's  Certificate  of Formation or this
Agreement.

     ix.  Mergers,  consolidations  or  combinations of the Company with another
limited liability company or other entity.

     x. Filing bankruptcy or seeking relief under any debtor relief law.

                           xi.  Sale,   lease  or  other   transfer  of  all  or
         substantially  all of the Company's  assets,  or any material amount of
         the Company's assets other than in the ordinary course of the Company's
         business.

                           xii.  Electing or deciding upon the type of equipment
         to be acquired by Newco,  but only to the extent such equipment is used
         in or materially relied on for the conduct of Refractive Surgery.

     xiii. Waiving,  refusing to enforce,  amending,  restating,  superseding or
modifying any of the provisions of this Agreement or any Transaction Document.

     xiv.  Election  or removal of the  Manager,  if any,  designated  by Moadel
pursuant to this Article.

                           xv. Not making any cash  distributions to its Members
         that  are  required  by  this  Agreement  to be  made,  or  making  any
         distributions  to its Members of cash or property  that are  prohibited
         under this Agreement.

     xvi. The  acquisition or development of any Target  Location (as defined in
the Contribution Agreement).

     xvii.  The   determination   to  make,  and  the  value  of,  any  in  kind
distributions made pursuant to Article V.

                           xviii. The granting by Newco of any license or permit
         to use the name "New York Eye  Specialists"  or any other trade name or
         trademark associated with Newco's business.

                  (c) Any of the above actions taken by the Company  without the
         necessary approval pursuant to Section 8.9(b) is void ab initio.

         Section 8.10.  Committees.  The Managers  may, by resolution  passed by
sixty-six percent (66%) of the Managers, designate committees, each committee to
consist  of two or more  Managers  (at  least  one of  which  must be a  Manager
designee of Prime and one of which, must be a Manager designee of Moadel), which
committees  shall have such power and authority and shall perform such functions
as may be provided in such  resolution.  Such committee or committees shall have
such name or names as may be  designated  by the Managers and shall keep regular
minutes of their proceedings and report the same to the Managers when required.

         The foregoing paragraph notwithstanding, the Managers shall establish a
Medical  Executive  Committee,  the  size  and  composition  of  which  shall be
established  by the  affirmative  vote or  written  consent  of two of the three
Managers  (one of whom must,  as long as Moadel has not  delivered  the  written
notice described in Section 9.3(a) of the Contribution Agreement, be the Manager
designee of Moadel). Members of the Medical Executive Committee must be licensed
physicians,  but need not be Members,  Managers, or officers of the Company. The
Medical  Executive  Committee  shall  meet at such  time or times as it may,  by
majority vote of its members,  elect and may adopt procedures for the conduct of
its meetings.  The Medical Executive  Committee shall have authority and control
over all nonprofessional  medical aspects of the Company's  business,  and shall
provide  advice to the  Managers on decisions  relating to equipment  purchases,
technological  obsolescence,  quality assurance,  credentialing,  and such other
matters as shall be requested by the Managers.  The Medical Executive  Committee
shall have the  authority  to bind the Company  only with respect to the medical
aspects of the  Company's  business.  The majority of the members of the Medical
Executive  Committee  shall  constitute  a  quorum  for the  transaction  of its
business and the affirmative  vote of the majority of the members of the Medical
Executive Committee shall constitute action validly taken by that body.

         Section  8.11.  Compensation  of Managers.  The  Members,  by unanimous
approval,  shall  have  the  authority  to  provide  that any one or more of the
Managers  shall  be  compensated,  and  may,  by  unanimous  approval,  fix  any
compensation  (which may include  expenses) they elect to pay to any one or more
of the Managers.

         Section  8.12.  Action by  Written  Consent.  Any  action  required  or
permitted  to be  taken  at any  meeting  of the  Managers  or of any  committee
designated  by the Managers may be taken  without a meeting if written  consent,
setting  forth the  action so taken,  is signed by all the  Managers  or of such
committee,  and such consent shall have the same force and effect as a unanimous
vote at a meeting.

         Section 8.13. Meetings by Conference Telephone.  Managers or members of
any committee  designated by the Managers may  participate in and hold a meeting
of the Managers or such  committee by means of  conference  telephone or similar
communications  equipment  by means of which all  persons  participating  in the
meeting  can  hear  each  other,  and  participation  in  such a  meeting  shall
constitute   presence  in  person  at  such  meeting,   except  where  a  person
participates  in the  meeting  for  the  express  purpose  of  objecting  to the
transaction  of any  business  on the ground  that the  meeting is not  lawfully
called or convened.

     Section  8.14.  Liability of Managers.  No Manager of the Company  shall be
personally  liable for any debts,  liabilities,  or  obligations of the Company,
including under a judgment, decree, or order of the court.

         Section 8.15.  Specific Power of Managers.  The Managers shall have the
authority to enter into and execute all  documents in relation to the  formation
of the Company  including,  but not limited to,  issuance of the  Certificate of
Formation and this Limited Liability Company Agreement.

                                   ARTICLE IX.

                                     NOTICES

Section  9.1.  Form of Notice.  Whenever  under the  provisions  of the Act, the
Certificate of Formation or this Limited  Liability  Company Agreement notice is
required to be given to any Manager or Member,  and no  provision  is made as to
how such notice  shall be given,  notice  shall be given in writing and shall be
deemed  received  (a) when  delivered  personally  or by courier  service to the
relevant  party at its address as set forth below or (b) if sent by mail, on the
third (3rd) day  following  the date when  deposited in the United  States mail,
certified or registered  mail,  postage  prepaid,  to the relevant  party at its
address indicated below:

Prime:                              1301 Capital of Texas Highway
                                    Suite C-300
                                    Austin, Texas 78746
                                    Attention: President
                            Facsimile: (512) 314-4398

with a copy to:                     Mr. Timothy L. LaFrey
                                    Akin, Gump, Strauss, Hauer & Feld, L.L.P.
                                    816 Congress Avenue, Suite 1900
                                    Austin, Texas 78701
                            Facsimile: (512) 703-1111

Moadel:                    Ken Moadel, M.D.
                                    New York Eye Specialists
                                    16 East 53rd Street, 5th Floor
                                    New York, New York  10022
                            Facsimile: (212) 752-4730

with a copy to:                     Mr. Timothy Kahler
                                    Parker Chapin, LLP
                                    The Chrysler Building
                                    405 Lexington Avenue, 8th Floor
                                    New York, NY 10174
                            Facsimile: (212) 704-6288

     Each party may change its  address for  purposes of this  Section by proper
notice to the other parties.

         Section 9.2. Waiver. Whenever any notice is required to be given to any
Manager or Member of the Company under the provision of the Act, the Certificate
of Formation or this Limited  Liability Company  Agreement,  a waiver thereof in
writing signed by the person or persons entitled to such notice,  whether signed
before or after the time stated in such waiver,  shall be deemed  equivalent  to
the giving of such notice.

                                   ARTICLE X.

                                    OFFICERS

         Any Manager may also serve as an officer of the  Company.  The Managers
may  designate  one or more persons to serve as officers and may  designate  the
titles of all  officers.  The  initial  officers  of the  Company  shall be: Ken
Shifrin,  Chairman of the Board;  Brad Hummel,  President;  Teena  Belcik,  Vice
President,  Secretary and Treasurer;  and Ken Moadel, M.D., Vice President.  The
officers of the Company shall have powers commensurate with the corporate powers
ordinarily  designated with respect to such offices and as otherwise established
by the Managers.

                                   ARTICLE XI.

                                    INDEMNITY

         Section 11.1.  Indemnification.  The Company shall indemnify any person
who was or is a party or is  threatened  to be made a party  to any  threatened,
pending or  completed  action,  suit or  proceeding,  whether  civil,  criminal,
administrative, arbitrative or investigative, any appeal in such an action, suit
or  proceeding  and any  inquiry  or  investigation  that  could lead to such an
action,  suit or proceeding  (whether or not by or in the right of the Company),
by reason of the fact that such person is or was a manager, officer, employee or
agent of the  Company or is or was  serving at the  request of the  Company as a
director,  manager, officer, partner, venturer,  proprietor,  trustee, employee,
agent or similar  functionary  of another  corporation,  employee  benefit plan,
other enterprise,  or other entity, against all judgments,  penalties (including
excise and similar taxes), fines, settlements and reasonable expenses (including
attorneys'  fees and court  costs)  actually and  reasonably  incurred by him in
connection with such action,  suit or proceeding to the fullest extent permitted
by any  applicable  law,  and such  indemnity  shall inure to the benefit of the
heirs,  executors and administrators of any such person so indemnified  pursuant
to this Article XI. The right to indemnification  under this Article XI shall be
a contract  right and shall not be deemed  exclusive of any other right to which
those seeking  indemnification may be entitled under any law, bylaw,  agreement,
vote of members or disinterested managers or otherwise, both as to action in his
official  capacity  and as to action in  another  capacity  while  holding  such
office.  Any repeal or amendment of this Article XI by the Managers (pursuant to
Section  8.9  hereof)  or by  changes in  applicable  law  shall,  to the extent
permitted by applicable law, be prospective only, and shall not adversely affect
the  indemnification  of any person who may be  indemnified  at the time of such
repeal or amendment.  Furthermore,  subject only to a Manager's  indemnification
obligations  (if any)  under  the  Contribution  Agreement,  and any  applicable
statutory limitations,  Newco agrees that it shall not bring any action, suit or
proceeding  against  any  Manager  except  for  intentional  misconduct  by such
Manager.

         Section   11.2.   Indemnification   Not   Exclusive.   The   rights  of
indemnification  and reimbursement  provided for in this Article XI shall not be
deemed  exclusive  of any  other  rights  to which  any such  Manager,  officer,
employee or agent may be  entitled  under the  Certificate  of  Formation,  this
Limited  Liability  Company  Agreement,  agreement  or vote of Members,  or as a
matter of law or otherwise.

         Section  11.3.  Other  Indemnification  Clauses.   Notwithstanding  the
foregoing,   this  Article  XI  shall  not  be  construed  to   contradict   the
indemnification   provision  of  the  Contribution  Agreement.   Notwithstanding
anything  contained  herein,  this Article XI shall be ineffectual and shall not
permit or require  indemnification for all, or any, losses, costs,  liabilities,
claims or expenses arising, directly or indirectly,  from any action or omission
permitting or requiring indemnification under the Contribution Agreement; and in
no event may any  indemnity be allowed  under this  Agreement or pursuant to any
provision   of  the  Act  for  an  amount  paid  or  payable   pursuant  to  the
indemnification provisions of the Contribution Agreement.

                                  ARTICLE XII.

                                  MISCELLANEOUS

     Section  12.1.  Fiscal  Year.  The fiscal year of the Company  shall be the
calendar year.

     Section 12.2.  Records.  At the expense of the Company,  the Managers shall
maintain  records and accounts of all  operations of the Company.  At a minimum,
the Company shall keep at its principal place of business the following records:

     (a) A  current  list of the full  name,  last  known  mailing  address  and
Membership Interest of each Member;

     (b) A current list of the full name and  business or  residence  address of
each Manager;

                  (c) A  copy  of  the  Certificate  of  Formation  and  Limited
Liability Company Agreement of the Company, and all amendments thereto, together
with  executed  copies of any powers of  attorney  pursuant  to which any of the
foregoing were executed;

     (d)  Copies  of the  Company's  federal,  state  and  local  income  tax or
information returns and reports, if any, for the six most recent tax years; and

     (e) Correct and complete books and records of account of the Company.

         Section 12.3. Seal. The Company may by resolution of the Managers adopt
and have a seal, and said seal may be used by causing it or a facsimile  thereof
to be  impressed  or  affixed or in any manner  reproduced.  Any  officer of the
Company shall have authority to affix the seal to any document requiring it.

         Section  12.4.  Agents.  Every  Manager  and Officer is an agent of the
Company  for the  purpose  of the  business.  The act of a Manager  or  Officer,
including  the  execution  in the  name of the  Company  of any  instrument  for
carrying on in the usual way the  business of the  Company,  binds the  Company;
provided,  however,  if such act  requires  the  approval  of the Members of the
Managers, such approval has first been obtained.

         Section 12.5. Checks. All checks,  drafts and orders for the payment of
money,  notes  and other  evidences  of  indebtedness  issued in the name of the
Company  shall be  signed  by such  officer,  officers,  agent or  agents of the
Company  and in such  manner  as  shall  from  time to  time  be  determined  by
resolution  of the  Managers.  In  the  absence  of  such  determination  by the
Managers, such instruments shall be signed by the Treasurer or the Secretary and
countersigned  by the  President  or a Vice  President  of the  Company,  if the
Company has such officers.

     Section 12.6. Deposits. Subject to the provisions of Section 8.9(b)(v), all
funds of the Company  shall be deposited  from time to time to the credit of the
Company in such banks, trust companies or other depositories as the Managers may
select.

     Section 12.7. Annual  Statement.  The Managers shall present at each annual
meeting a full and clear statement of the business and condition of the Company.

         Section 12.8.  Financial  Statements.  As soon as practicable after the
end of each fiscal year of the  Company,  a balance  sheet as at the end of such
fiscal year,  and a profit and loss  statement  for the period  ended,  shall be
distributed  to the  Members,  along with such tax  information  (including  all
information  returns) as may be necessary for the  preparation of each Member of
its federal,  state and local income tax returns.  The balance  sheet and profit
and loss statement  referred to in the previous  sentence may be as shown on the
Company's federal income tax return.

         Section 12.9. Binding Arbitration.  Any controversy between the Members
regarding this Agreement or any other Transaction  Document,  any claims arising
out of any breach or alleged breach of this  Agreement or any other  Transaction
Document,  and any claims  arising out of the  relationship  between the Members
created  hereunder,  shall be  submitted to binding  arbitration  by all Members
involved in accordance  with the  procedures  for  arbitration  contained in the
Contribution Agreement.

         Section 12.10. Counterparts.  This Agreement may be executed in several
counterparts,  each of  which  shall  constitute  an  original  and all of which
together  shall  constitute  one and the same  instrument.  Any party hereto may
execute this Agreement by signing any one counterpart.

                                  ARTICLE XIII.

                                   AMENDMENTS

         Section  13.1.  Amendments.  Except to the  extent  expressly  provided
otherwise herein, this Agreement may only be altered,  amended or repealed and a
new limited  liability  company agreement may only be adopted only in accordance
with the provisions of Section 8.9 by the Members at any regular  meeting of the
Members or at any special meeting of the Members called for that purpose,  or by
execution of a written consent in accordance with the provisions of Section 3.8.

         Section 13.2. When Limited  Liability  Company  Agreement Silent. It is
expressly recognized that when the Limited Liability Company Agreement is silent
or in conflict with the  requirements  of the Act as to the manner of performing
any Company function, the provisions of the Act shall control.

         Section 13.3. Integration with Contribution Agreement. To the extent of
any inconsistency between the provisions of the Contribution  Agreement and this
Agreement, the terms and provisions of the Contribution Agreement shall control.
Accordingly, no Member or Manager shall be deemed to have breached any fiduciary
duty  owed to any other  Member or the  Company  as a result  of  investing  in,
acquiring or developing  any office  location,  business or operations  that are
related or similar to, or in direct  competition with, the Company's business if
such act or  transaction  is  allowed or not  prohibited  by the  provisions  of
Article  VIII  of  the  Contribution  Agreement,  or  the  termination  of  such
provisions.

                            [Signature page follows]

<PAGE>

S-1

                                                     SIGNATURE PAGE TO
                                            LIMITED LIABILITY COMPANY AGREEMENT

         IN  WITNESS  WHEREOF,  the  parties  hereto  have  duly  executed  this
Agreement as of the day and year first above written.

                                          ------------------------------------
                                          Ken Moadel, M.D.

                                                     Prime RVC, Inc.

                                                     Teena Belcik, Treasurer

<PAGE>

                                       A-1

                                    EXHIBIT A

                               OWNERSHIP INTERESTS

Name              Contribution              Agreed Value    Membership Interest

Prime             Assets and                        65%               65%
                  other property

Moadel            Assets and                        35%               35%
                  other propertyOFFICE AND EQUIPMENT USE AGREEMENT

     This Office and  Equipment Use  Agreement  (hereinafter  referred to as the
"Agreement")  is made and executed as of the close of business on the 1st day of
April, 2000 by and among New York Laser  Management,  L.L.C., a Delaware limited
liability  company,  (hereinafter  referred to as  "Newco"),  Ken  Moadel,  M.D.
(hereinafter  referred to as "Provider") and Ken Moadel,  M.D., P.C., a New York
professional corporation (hereinafter referred to as "Moadel PC").

                             Preliminary Statements:

         Provider,  a licensed  medical  professional,  together  with Moadel PC
provides  Refractive  Surgery and related services in the area of the Borough of
Manhattan, New York City, New York.

         Newco owns  certain  equipment  and assets  (none of which  include the
practice of medicine or the  operation  of a health care  facility)  used in the
performance of Refractive Surgery (as hereinafter defined) and related services.

         Provider  and  Moadel  PC  desire  to  use  Newco's  space,  equipment,
non-professional  personnel  and certain  administrative  services on a turn-key
basis as their  professional  offices in connection  with  Provider's and Moadel
PC's provision of medical services.

         Moadel PC  desires  to employ  certain  employees,  for the  purpose of
rendering services at the offices and using the equipment of Newco.

                             Statement of Agreement

         In  consideration  of  the  mutual  covenants  and  agreements   herein
contained,   and  other  good  and  valuable  consideration,   the  receipt  and
sufficiency  of which are hereby  acknowledged,  and on the terms and subject to
the conditions herein set forth, the parties hereto agree as follows:

                                    ARTICLE I

                           Relationship of the Parties

         The relationship  under this Agreement  between Newco, on the one hand,
and  Provider  and Moadel PC, on the other  hand,  shall be that of  independent
contractors.  The provisions  hereof are not intended to create any partnership,
joint  venture,  agency or employment  relationship  between the parties.  Newco
acknowledges  and agrees that  Provider and Moadel PC shall retain the exclusive
authority to direct the medical,  clinical professional,  and ethical aspects of
their respective  medical  practices.  Newco shall neither exercise control over
nor interfere with the physician-patient relationships of Provider or Moadel PC,
which  shall be  maintained  strictly  between  Provider,  Moadel  PC and  their
patients.

                                   ARTICLE II

                        Services to be Provided by Newco

         Section 2.1 General.  Moadel PC and  Provider  will not act in a manner
that would prevent Newco from performing its duties hereunder,  and will provide
such  information and assistance to Newco as is reasonably  required by Newco to
perform its services  hereunder.  Newco shall, and shall use its best efforts to
cause its  employees  to, comply with all  applicable  federal,  state and local
laws, rules and regulations in its provision of services hereunder.

         Section 2.2 Offices and Equipment. Newco shall make available to Moadel
PC and Provider the real property located at 16 East 53rd Street, 5th Floor, New
York, New York 10022, and the improvements, equipment and assets located thereon
(together  with any  subsequent  property,  improvements,  equipment  or  assets
acquired  by  Newco in  replacement  of or in  addition  to the  foregoing,  the
"Premises"),  for  the use of  Moadel  PC and  Provider  in the  performance  of
Refractive  Surgery and related services.  Newco agrees to maintain the Premises
in a  commercially  reasonable  manner  in  light  of  the  intended  use of the
Premises.

         Section 2.3  Practice  Management.  The  parties  intend and agree that
Moadel PC and Provider  shall  continue to manage and  administer all aspects of
their practices,  unless and only to the extent Newco specifically  undertakes a
certain  aspect of such  management  and  administration.  Such  management  and
administration   shall  include,   without   limitation,   all   administration,
accounting,  purchasing,  payroll, legal services, record keeping,  bookkeeping,
computer  services,  information  management,   printing,  postage,  duplication
services,  provision of non-professional personnel,  quality assurance programs,
and billing and  collecting  from, and  contracting  with,  patients,  insurance
companies,  managed care  payors,  governmental  entities and other  third-party
payors with respect to all professional,  medical and other services provided by
Moadel PC or Provider. In connection with the management of the practice,  Newco
hereby grants a non-exclusive  license to Provider and Moadel PC to use the name
"New York Eye Specialists" in the following limited  instances:  (a) preparation
and dissemination of advertising and promotional materials,  as long as such use
is not in  connection  with,  or for the  promotion  of, any activity that would
constitute a violation of any obligation owed to Newco,  Newco's members, or the
affiliates  of Newco's  members,  (b) billing for  procedures  or services  that
involve the use of the Premises,  and (c) any other use that is consistent  with
the express provisions of this Agreement.  The foregoing license and use of such
name  shall  be  terminated  upon  delivery  of  notice  to  Provider  by  Newco
terminating same.

         Notwithstanding any provision of this Agreement to the contrary:

     (a) Newco shall not engage in the practice of medicine,  and Provider shall
at all times be responsible  for all activities  that constitute the practice of
medicine;

                  (b) this Agreement shall not be construed to require Provider,
or any other  medically  trained or  licensed  medical  professionals  under the
direction or control of Provider,  to perform Refractive Surgery at or using the
Premises if in the professional medical judgment of a reasonable ophthalmologist
practicing  Refractive  Surgery,  such use would be  detrimental  to  Provider's
patients; and

                  (c) Provider and Moadel PC shall have the final authority over
their  respective  personal  budgets,   professional  policies  and  procedures,
professional hiring, firing and staffing, and clinical practices.

         Section  2.4  Events  Excusing  Performance.  In the event of  strikes,
lock-outs,  calamities,  acts of God, unavailability of supplies or other events
over  which  Newco  has no  control,  Newco  shall not be liable to Moadel PC or
Provider for failure to provide any of the Premises hereunder, and Moadel PC and
Provider  shall not have the right to terminate this  Agreement,  for so long as
such events continue and for a reasonable  period of time thereafter;  provided,
however,  that if such  events  continue  and Newco is not able to  provide  any
Premises hereunder for a period of one hundred and eighty (180) consecutive days
or more,  Newco,  Moadel PC or Provider may terminate  this Agreement by written
notice to the others.

                                   ARTICLE III

                      Obligations of Moadel PC and Provider

         Section 3.1  Premises  Fee.  The fees payable to Newco by Moadel PC and
Provider in return for use of the Premises and related  services made  available
by Newco  hereunder  (the  "Premises  Usage Fee") shall be  determined  on a per
procedure  basis,  and  shall  be  remitted  to  Newco  promptly  following  the
performance of the procedure for which the Premises Usage Fee is due. The amount
of the  undiscounted  Premises Usage Fee with respect to any procedure  shall be
comprised of a fee for medical  supplies  and  equipment in the amount of $92.50
and a fee for all other use of the Premises  and related  services in the amount
of $1,850.  Newco may from time to time discount the Premises Usage Fee based on
circumstances  related to specific types of  procedures,  but the parties intend
that the aggregate  Premises Usage Fees shall equal the fair market value of the
use of the Premises and related services provided by Newco hereunder.

         Notwithstanding the foregoing provisions of this Section,  Newco agrees
to waive all Premises Usage Fees charged for any retreatment procedure for which
Provider receives no professional fee or other direct monetary benefit and which
is given on a limited  basis  consistent  with  Provider's  usual and  customary
practices  and  procedures  existing  prior  to the date of this  Agreement.  In
addition,  any manager of Newco may from time to time  require that all managers
of Newco  examine  whether the fair market  value of the use of the Premises and
related  services  has  decreased  by more than $86 since it was last  agreed to
pursuant  to this  Agreement  or by the  unanimous  vote or  consent  of Newco's
managers. In such an examination,  the managers of Newco must act in good faith,
but each manager  shall be entitled to specify the change in fair market  value,
if any at all, in his or her sole discretion.  If such an examination results in
a unanimous  determination  by Newco's  managers  that the fair market value has
changed  by more than $86 since it was last  agreed  to,  Newco  shall  promptly
change the Premises Usage Fee to reflect, dollar for dollar, such change in fair
market value. Notwithstanding the foregoing, Newco may elect, by the affirmative
vote of a simple majority of its managers,  to terminate this Agreement  without
liability  anytime the Premises Usage Fee drops to less than $1,300.  Each party
agrees to act in good faith in any renegotiation of the Premises Usage Fee.

         Provider and Moadel PC each agree that the Premises Usage Fee shall not
be  reduced  for  any  professional   fees  paid  to  Provider  or  any  medical
professional employed by or acting under the direction of Provider or Moadel PC.

         Section 3.2 Compliance With Laws.  Moadel PC and Provider shall provide
professional  services to patients in  compliance  at all times with,  and shall
otherwise  comply  with,  all ethical  standards,  laws,  rules and  regulations
applicable to the  operations of Moadel PC and Provider.  Moadel PC and Provider
shall ensure that  Provider and the employees of Moadel PC and Provider have all
required licenses, credentials, approvals or other certifications to perform his
or her duties and  services  for Moadel PC and  Provider.  In the event that any
disciplinary  actions or  medical  malpractice  actions  are  initiated  against
Provider or any employee of Provider or Moadel PC, Moadel PC and Provider  shall
promptly inform Newco of such action and the underlying facts and circumstances.
Moadel PC and  Provider  shall  carry out a program  to monitor  the  quality of
medical care practiced by Provider and Moadel PC.

         Section 3.3 Moadel PC's and Provider's Internal Matters.  Moadel PC and
Provider shall be responsible for matters  involving their respective  corporate
governance,  employees and similar internal matters,  including, but not limited
to,  preparation  and contents of such reports to regulatory and tax authorities
governing  Moadel PC and Provider that Moadel PC or Provider are required by law
to  provide,  distribution  of  professional  fee income  among  Provider or the
shareholders  of Moadel PC,  disposition of Moadel PC's and Provider's  property
and hiring and firing of their  employees and licensing.  The legal,  accounting
and other  professional  services  fees  incurred  by  Provider  or Moadel PC in
connection with the internal  matters of Moadel PC, the  distribution of the fee
income among Provider or shareholders  of Moadel PC and the personal  accounting
of Moadel PC and Provider and similar  internal and personal  matters,  shall be
borne exclusively by Moadel PC and/or Provider.

         Section 3.4 Personal  Expenses.  Except as expressly  provided above in
Section  3.2,  Provider  agrees  that,   notwithstanding   the  prior  practices
associated  with the  business of Moadel PC and Provider  related to  Refractive
Surgery  as  conducted  prior to the date of this  Agreement,  all  liabilities,
obligations,  costs and expenses that arise after the date of this Agreement and
are  personal  to  Provider  (or arose from  transactions  or  occurrences  that
directly benefited Provider in a capacity other than as a member of Newco) shall
not be  considered  expenses  of Newco  and shall be borne  solely by  Provider,
unless agreed otherwise by the unanimous vote or written consent of the managers
of Newco. With respect to any such personal expenses that were incurred prior to
the date of this  Agreement,  such expenses  shall not be incurred or reimbursed
by, or charged or netted  from  amounts  owed to,  Newco  after the date of this
Agreement.

                                   ARTICLE IV

                              Term and Termination

         This  Agreement  shall  commence on the date hereof and shall expire on
the earlier of (a) the 40th anniversary of the date of this Agreement or (b) the
expiration  of two (2)  full  years  following  the  later  of (i) the  six-year
anniversary  of the  date of this  Agreement  or (ii)  the  first  time at which
Provider and his affiliates do not own any direct or indirect ownership interest
in Newco.

                                    ARTICLE V

                               General Provisions

         Section 5.1 Amendments and Waivers.  Any  modification or amendment to,
or waiver  of,  any  provision  of this  Agreement  (or any  document  delivered
pursuant to this Agreement unless otherwise  expressly  provided therein) may be
made only by an instrument in writing executed by each party thereto.

         Section 5.2  Successors  and Assigns.  No party's rights or obligations
under this  Agreement may be assigned  without the prior written  consent of all
parties  hereto.  Any assignment in violation of the foregoing shall be null and
void. Subject to the preceding sentences of this Section, the provisions of this
Agreement (and, unless otherwise  expressly  provided  therein,  of any document
delivered  pursuant to this  Agreement)  shall be binding  upon and inure to the
benefit of the parties hereto and their respective heirs, legal representatives,
successors, and assigns.

         Section 5.3 Invalid  Provisions.  If any provision of this Agreement is
held to be illegal, invalid, or unenforceable under present or future laws, such
provision  shall be fully  severable,  this  Agreement  shall be  construed  and
enforced as if such  illegal,  invalid,  or  unenforceable  provision  had never
comprised  a part  of  this  Agreement,  and the  remaining  provisions  of this
Agreement shall remain in full force and effect and shall not be affected by the
illegal,  invalid,  or  unenforceable  provision or by its  severance  from this
Agreement.

         Section  5.4  Waiver.  No  failure or delay on the part of any party in
exercising  any  right,  power,  or  privilege  hereunder  or  under  any of the
documents  delivered in connection with this Agreement shall operate as a waiver
of such right, power, or privilege;  nor shall any single or partial exercise of
any such  right,  power,  or  privilege  preclude  any other or future  exercise
thereof or the exercise of any other right, power or privilege.

         Section 5.5  Notices.  Any notices  required or  permitted  to be given
under this Agreement  shall be given in writing and shall be deemed received (a)
when  delivered  personally or by courier  service to the relevant  party at its
address  as set  forth  below or (b) if sent by mail,  on the  third  (3rd)  day
following  the date when  deposited  in the United  States  mail,  certified  or
registered mail, postage prepaid, to the relevant party at its address indicated
below:

Newco:                     1301 Capital of Texas Highway
                                    Suite C-300
                                    Austin, Texas 78746
                                    Attention: President
                                            Facsimile:  (512) 314-4398

with a copy to:                     Mr. Timothy L. LaFrey
                                    Akin, Gump, Strauss, Hauer & Feld, L.L.P.
                                    816 Congress Avenue, Suite 1900
                                    Austin, Texas 78701
                                            Facsimile:  (512) 703-1111

Moadel PC:                          New York Eye Specialists
                                    16 East 53rd Street, 5th Floor
                                    New York, New York  10022
                                    Attn:  Ken Moadel, M.D.

                                            Facsimile:  (212) 752-4730

Provider:                           Ken Moadel, M.D.
                                    New York Eye Specialists
                                    16 East 53rd Street, 5th Floor
                                    New York, New York  10022
                                            Facsimile:  (212) 752-4730

with a copy to:                     Mr. Timothy Kahler
                                    Parker Chapin, LLP
                                    The Chrysler Building
                                    405 Lexington Avenue, 8th Floor
                                    New York, NY 10174
                                            Facsimile:  (212) 704-6288

         Each party may change  its  address  for  purposes  of this  Section by
proper notice to the other parties.

         Section 5.6 Survival of  Representations,  Warranties,  and  Covenants.
Regardless  of any  investigation  at any time made by or on behalf of any party
hereto  or of any  information  any  party  may  have in  respect  thereof,  all
covenants,  agreements,   representations,  and  warranties  made  hereunder  or
pursuant hereto or in connection with the transactions contemplated hereby shall
survive the execution of this Agreement.

         Section  5.7   Construction.   This  Agreement  and  any  documents  or
instruments  delivered  pursuant  hereto  or in  connection  herewith  shall  be
construed  without  regard to the identity of the person who drafted the various
provisions  of the same.  Each and every  provision of this  Agreement  and such
other documents and instruments  shall be construed as though all of the parties
participated  equally in the  drafting  of the same.  Consequently,  the parties
acknowledge  and agree that any rule of  construction  that a document  is to be
construed  against the  drafting  party shall not be  applicable  either to this
Agreement or such other documents and instruments.

     Section  5.8  Governing  Law.  This  Agreement  shall  be  governed  by and
construed in accordance with the laws of the State of Texas.

         Section 5.9 Arbitration.  Any controversy between the parties regarding
this  Agreement,  any claims arising out of any breach or alleged breach of this
Agreement  and any claims  arising out of the  relationship  between the parties
created  hereunder  shall be  submitted  to binding  arbitration  by all parties
involved. In any arbitration proceeding pursuant to this Section, the prevailing
party in such  proceeding  shall be entitled to recover its costs and reasonable
attorneys'  fees in  addition  to any  other  relief  granted.  The  arbitration
proceedings shall be conducted by a single arbitrator pursuant to the Commercial
Arbitration  Rules  of the  American  Arbitration  Association  (subject  to the
express  provisions  of this  Section).  The  arbitration  shall be conducted in
Austin,  Texas, but the arbitrator shall not have the right to award punitive or
exemplary damages against either party.

         Section 5.10  Counterparts.  This  Agreement may be executed in several
counterparts,  each of  which  shall  constitute  an  original  and all of which
together  shall  constitute  one and the same  instrument.  Any party hereto may
execute this Agreement by signing any one counterpart.

                            [Signature page follows]

<PAGE>

S-1

                                 SIGNATURE PAGE

                                       TO

                       OFFICE AND EQUIPMENT USE AGREEMENT

         IN  WITNESS  WHEREOF,  the  parties  hereto  have  duly  executed  this
Agreement as of the day and year first above written.

Newco:               New York Laser Management, L.L.C.

                     Teena Belcik, signing as a manager
                        of Newco and on behalf of Prime, as a member of Newco

                     Ken Moadel, signing as both a manager
                         and a member of Newco

Moadel:                _______________________________________________
                                            Ken Moadel, M.D.

Moadel PC:                                  Ken Moadel, M.D., P.C.

                                            By:
                                                  Ken Moadel, M.D., President

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