Eyes on Eastlake Optometry
All fields are required
Type of Visit
New Comprehensive Exam
Office Visit, Level 1
Office Visit, Level 2
Office Visit, Level 3
Contact Lens Follow-up
Est Comprehensive Exam
New Comp with CL Exam
Est Comp with CL Exam
Dilation Only (Office Use Only)
Office
Eyes on Eastlake Optometry
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
1360 EASTLAKE PARKWAY Chula Vista CA 91915
1360 EASTLAKE PARKWAY Chula Vista CA 91915
New and Existing patients can make appointments online.
Office Phone:
+1 619-482-1603
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
30 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment