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
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  • Vision Center - Optometry

    Kenzo Otsuji, O.D.

    13313 East Telegraph Road
    Whittier, CA 90605

    562-946-1957