Patient Center

Welcome to our Online Patient Center! Here you can get information about what to expect during your visit with Dr. Mazzulla as well as important forms you can complete before your appointment to save time.

We want your visit to be as stress-free as possible. Our staff will do everything we can to make sure your experience is pleasant and convenient. If you have any questions about these forms, please don’t hesitate to contact us.

What to Expect

When you visit our office, you will be warmly welcomed and we can answer any questions you may have about completing the paperwork so that Optic Gallery may see you. Our team will work together to evaluate your eyes and provide relevant eye care treatment information, review your vision benefits and payment options, fit you for glasses or contact lenses, and focus on exceeding all of your expectations. If at any time you have questions about the process or your specific health information, please ask.

Patient Forms

Please download and fill out each of the following forms. HIPAA Notice of Privacy Practices is required.

HIPAA AgreementNew Patient FormMedical History FormContact Lens InformationRetinal Imaging System

Doctor Hours
Monday - Friday | 9:30am - 5:00pm

Optical Hours
Monday - Friday | 9:30am - 5:30pm


  • 420 W. Smith St. Suite 105
  • Kent, WA 98032

253-867-1616
253-867-1618

The staff is absolutely amazing! I've been a happy customer for over 3 years. Thank you OG and especially Stacy for the awesome customer service. You are truly appreciated.
Dominic L.

Payment Options

Optic Gallery believes in providing the best value for you and your family. We have products and pricing that aims to accommodate all budgets and our office participates in most insurance programs. For patients who have little or no vision insurance coverage, flexible payment programs may be arranged. To learn more about our payment options, please call our office directly.

Our office accepts cash, check, and major debit and credit cards including MasterCard and Visa, as well as Care Credit.

Don’t forget to use your:

  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)
  • Cafeteria Plans for most of your eye care needs

All of the above plans can be used for all your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

Insurance

Click the button below or give us a call at 253-867-1616 and our staff will be happy to assist you with insurance verification and the earliest availability.

Schedule an Appointment

Our doctors are providers for the following insurance:
Aetna, Cigna, First Choice, Premera, Regence, United Healthcare, Vision Service Plan (VSP), Lifewise, Group Health Options, Tricare, United Health Care, and HMA.

If your insurance is not listed here, please call our office to verify.