Robert Grazian, OD has practiced optometry on Santee's Mission Gorge Road since founding Santee Vision Care Center in 1984. A Diplomate of the American Board of Optometry and member of the American Optometric Association, the San Diego Optometric Society, and the California Optometric Association, he maintains a referral network with East County internal medicine physicians such as Mirwais Saifi, MD on Buena Vista Avenue for patients whose retinal screenings reveal diabetic or hypertensive indicators. He graduated from the Illinois College of Optometry in 1982 and served as a United States Air Force optometrist before establishing his Santee private practice. The Mission Gorge Road office handles comprehensive eye examinations, LASIK consultation and co-management, contact lens fitting for specialty conditions, and acute eye emergencies that fall outside the scope of walk-in facilities such as Perlman Clinic Santee further west on the same corridor. Clinical instrumentation includes corneal topography for keratoconus mapping and pachymetry for central corneal thickness measurement used in glaucoma risk stratification and refractive surgery candidacy evaluation.