Madison Optics Optometry at 2404 Madison Ave in San Diego's University Heights delivers comprehensive eye care under the clinical direction of Catherine F. Soriano, OD, who took over the practice in January 2022 from Dr. Louis Chesner after his 45-year tenure at the same address. Patients whose eye exams reveal early signs of diabetic retinopathy or hypertensive retinal changes coordinate systemic management with internal-medicine practices such as PROSPERA Internal Medicine & Aesthetics Medical Center, whose metabolic-health protocols address the underlying conditions that retinal pathology reflects. Dr. Soriano earned her Doctor of Optometry degree from the Illinois College of Optometry in Chicago and returned to her hometown of San Diego to continue the practice's legacy, making this one of the longest-running optometry locations in the 92116 ZIP. Clinical services include advanced digital retinal imaging, contact-lens fittings, dry-eye treatment using meibomian-gland expression and thermal lid therapy, orthokeratology for myopia management, and pediatric vision screenings. The frame gallery stocks Versace, Gucci, Kate Spade, Tom Ford, Prada, Tory Burch, and Essilor ophthalmic lenses. The office speaks Filipino and Spanish in addition to English, and accepts Aetna, CIGNA, Davis Vision, EyeMed, Superior Vision, and VSP plans. Dr. Soriano is a member of the San Diego County Optometric Society. Pediatric-vision clearance for preschool and kindergarten enrollment works in parallel with early-childhood programs in the Normal Heights community, including Natura Early Child Development on Adams Avenue, where vision-screening documentation is part of the admissions packet. The Madison Ave address sits at the corner of Texas Street and Madison Avenue, where the Normal Heights mesa drops toward Mission Valley. University Heights' residential grid extends south from this point toward Park Blvd and the El Cajon Blvd corridor.