Use this quick and easy email form to request an appointment for an eye exam or evaluation. Your request will be confirmed within 24 hours. For emergencies, click here.

Dr Endo Dr Nakashima Dr Kuba Amy Endo, Master Optician

	Monday 9am to 6pm Monday 9am to 5pm Monday 9am to 1pm Monday 10am to 6pm
	Tuesday 9am to 5pm Tuesday Not Available Tuesday 10am to 5pm
	Wednesday 9am to 5pm Wednesday Not Available Wednesday Not Available
	Thursday Not Available Thursday 9am to 5pm Thursday 10am to 5pm
	Friday 9am to 5pm Friday Not Available Friday 9am to 1pm Friday 10am to 5pm
	Saturday 9am to 1pm Saturday 9am to 1pm Saturday 10am to 1pm

Filling out the form below will send e-mail directly to our Main Office!

For whom is this appointment for?

What is your age?

Please list your phone or cel number, pager, email address or best way to reach you.
Please indicate if you are having any medical problems that require immediate attention or if you desire new glasses or type of contacts.

Please list the appointment date (day & time) desired and our eyecare consultant will contact you to confirm the appointment. Example: Dec 15, 3pm

Please list your 2nd choice for appointment date desired.

With whom do you request this appointment?
Dr. Edwin Endo.     Dr. Melanie Nakashima
Amy Endo, CPOT   Dr. Janna Kuba

Optionally, please indicate the type of insurance plan that you have.
HMAA   HMSA MEDICARE   TRICARE
UHA      UNION VSP                OTHER VISION
Are your interested in the following:

Enter Your Name:

Enter Your Address: