Appointment Request Form

Vision Insurance/ Insurance (if any):
Insurance Number:

Please select up to 3 appointment dates / times.
If you can't find a convenient appointment time, please call our office

Enter Letters Shown

Please Note: The requested appointment time(s) may no longer be available. We will contact you to confirm your actual appointment date and time.

Practice Photo
  • San Pedro Eye Care

    Rick Iwai, O.D.
    Gene Calkins, O.D.
    Tay Weinman, M.D.
    Amarpreet Brar, M.D.

    571 W 7th Street
    San Pedro, CA 90732