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Home » Contact Us » Appointment Request Form

Appointment Request Form

If this is an emergency, do not contact us via email, please use our emergency contact information.

Complete the following form:

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • :
  • This field is for validation purposes and should be left unchanged.
Our Open Hours

  • 9:00 AM - 5:30 PM
  • 10:30 AM - 7:00 PM
  • 9:00 AM - 5:30 PM
  • 9:00 AM - 5:30 PM
  • 8:00 AM - 2:00 PM
  • 8:00 AM - 2:00 PM
  • Closed

Friday and Saturday: Early appts available on request

Open Hours:

  • 9:00 AM - 5:30 PM
  • 10:30 AM - 7:00 PM
  • 9:00 AM - 5:30 PM
  • 9:00 AM - 5:30 PM
  • 8:00 AM - 2:00 PM
  • 8:00 AM - 2:00 PM
  • Closed

Friday and Saturday: Early appts available on request

Schedule Appointment - Online Form

We are excited to welcome you back into our office and thank you for being patient and understanding. We will be opening Monday, May 11th, 2020, for scheduled routine eye exams. We will be open by APPOINTMENT ONLY to reduce the number of people in the office.

Due to COVID-19, we are taking precautions to ensure your safety and well being, as it remains our highest priority. Our staff is diligently adhering to CDC guidelines and other healthcare recommendations and required protocols.

You can still order your contacts (shipping at N/C) by emailing: insurance@berryessaoptometry.com.

During our closure, we will not be able to receive or respond to phone calls. Please do not leave any voice messages. If you are having an eye emergency, please call 911 or go to your nearest emergency room.

Thank you and we look forward to seeing you  soon!

Thomas L. Lim OD
Hung D. Mac, OD