Request an Appointment

Please provide us with Vision insurance information if you should have any.  Also, we will need the following information on the insurance: Primary Holders name, Date of birth, and last 4 of the Social Security unless Culinary then the whole Social Security number. 
Please specify if you are coming for a Contact Lens exam or Glasses exam.

Contact information

Name
Phone

Appointment details

Date
Time
I'm making an appointment for
Comments and Questions
Maximum of 250 characters

Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.