Appointment Request Form

Vision Insurance/ Insurance (if any):
Insurance Number:
I would like an appointment with:

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
.
  • Ala Moana Advanced Eye Clinic

    Randall Sakamoto, O.D., Ph.D.

    1441 Kapiolani Blvd
    Suite 2005
    Honolulu, HI 96814

    808-944-9911

    1441 Kapiolani Blvd Suite 2005
    Honolulu, HI 96814