Doctor of Optometry on Third Avenue near the Washington Street medical district, Marcelline Ciuffreda, O.D. handles comprehensive vision exams, contact lens fittings, and ocular health screenings for adult patients in 92103. The independent OD chair workflow runs refraction, slit-lamp evaluation, and dilated fundus checks comparable to the single-doctor model used by Nickolet A. Boermans, O.D. nearby. The Third Avenue lane covers daily and monthly contact lens fittings, including toric corrections for astigmatic patients and multifocal options for presbyopia. Surgical and subspecialty referrals get directed to ophthalmology MDs and specialty optometric peers including Tri D. Phan, OD when cases fall outside primary eye care scope. The most involved chair time covers staged dry eye treatment plans built around tear film osmolarity testing, meibomian gland expression, and longitudinal symptom tracking.