Appointment request

 
Fill in the blanks below and enter your request. When done, click "Submit Appointment Request" at the bottom.
 






 
 
Telephone :: 10 numbers only, No dashes, spaces
 
Email address :: Email address
 
Type of exam requested :: Please choose the type of eye exam
 
 


Previous patient? :: Previous patient?
 
Preferred Appointment Day: Month/Day/Year :: Please enter, month, day, year
 

Our office will call you to confirm your request

 
 
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Office Hours

Monday: 9:00 am to 6:00 pm
Tuesday: 9:00 am to 6:00 pm
Wednesday: 9:00 am to 6:00 pm
Thursday: 9:00 am to 6:00 pm
Friday: 9:00 am to 6:00 pm
Saturday: 8:00 am to 1:00 pm

Streamlined check-in

For your convenience we have added online registrations forms. So now you can use your favorite pen at home. Or if you get delayed in traffic and are running late for your appointment don't fret.

Online registration forms

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