Doctor of Optometry seeing patients at the Fourth Avenue practice in 92103, Kathryn Ordonez, O.D. handles comprehensive eye exams, contact lens evaluations, and ocular disease screenings for adult and adolescent patients. The exam lane runs through refraction, slit-lamp biomicroscopy, and dilated fundus checks consistent with the independent OD chair model used by Steven R. Larsen, OD elsewhere in the neighborhood. Contact lens fittings cover daily disposables, monthly toric lenses for astigmatism, and multifocal options for presbyopic adults. Low-vision and binocular vision concerns route out to subspecialty optometric workups at Vision Specialists of California when patients need rehabilitative protocols beyond a standard refraction. The most involved chair time goes to dry eye workups combining tear film evaluation, meibomian gland imaging, and a staged treatment plan over multiple follow-up visits.