REQUEST AN APPOINTMENT Name * First Name Last Name Email * Phone Number * (###) ### #### Date of Birth * MM DD YYYY Reason for Visit * Comprehensive Eye Exam Contact Lens Fitting Consulation with Eyewear Specialist DMV Vision Exam Other Preferred Date of Visit MM DD YYYY Type of Insurance How would you like to be contacted? * Email Phone Call Text message Message Thank you for submitting your appointment request. We appreciate your interest in Preferred Optical. Rest assured, our team will review your request promptly and aim to get back to you within the next 2-3 hours.
