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37 Long Beach Blvd. Long Beach CA 90802

(562) 436-6739
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Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency contact information.

Complete the following form:

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • :
  • This field is for validation purposes and should be left unchanged.
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Due to circumstances evolving around the Coronavirus, the office will remain closed to nonessential in-office examinations until further notice (at least until April 17th) per the guidance of various health agencies. We apologize for the inconvenience and hope to be open as soon as it is safe to do so. Patients with appointments will be rescheduled as first priority. Please reach out to the office if you have urgent needs. Note that we are able to take phone orders for contact lenses and for glasses in stock or of which we have record. You may reach out to the office via a link on this website, phone or text. We are committed to serving your needs and to do so safely, efficiently and with the utmost care.

Thank you for your patience and understanding of these difficult circumstances.

Please check our Facebook page for important office updates regarding COVID-19.

If you need to order contact lenses, please click here.