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Doctors & Staff

Meet the experienced and friendly doctors and staff who make Drs. Tsai, Smart, and Church the leading providers of vision care products and services in Fredericksburg, Virginia.


-1-21Dr. Tsai was born and raised in Terre Haute, IN and graduated from Indiana University in Bloomington as an Eli Lily Endowment and Howard T. Batman Scholar. While attending college, she worked in the Pediatrics/Binocular Vision clinic and the optical laboratory in the school of Optometry. After completing three years of her undergraduate studies, she was admitted into the early acceptance program in the School of Optometry at Indiana University. In 2004, she completed her Bachelor Of Science in Optometry as she con-currently studied for her Doctorate. She completed her Doctorate early in May 2006. Her training included working at Bascom Palmer Eye Institute in Miami, FL (ranked number 1 in eyecare in the world in 2003) and Roudebush Veterans Affairs Clinic in Indianapolis, IN. Dr. Tsai’s primary interests include ocular disease, pediatric care, and visual therapy.

She is a member of the American Optometric Association, Virginia Optometric Association, College of Optometrists in Vision Development, and is a Fellow in the Virginia Academy of Optometry. She currently serves as the Vice President for the Battlefield Optometric Association. In 2013, she completed her term as President for the Virginia State Board of Optometry after being a Board member for three years. She offers vision care with the Lions Club and the InfantSee Program which is sponsored by the American Optometric Association. She is an active member in her community, participating with the Chamber of Commerce, Next Generation Business Leaders, National Multiple Sclerosis Society Corporate Achievers, and the Health Advisory Committee for Fredericksburg Head Start.

In 2009, Dr. Tsai entered into a partnership with Dr. Samuel Smart and now retired, Dr. William Mitchell Powell. In March 2014, she was entrusted to be the successor and sole owner of the practice. When she is not working or doing public speaking for visual therapy, Dr. Tsai enjoys reading, golfing, running, traveling, air sports including sky diving, and spending time with her family and two dogs.


-1-4Dr. Smart graduated from Episcopal High School in Alexandria, VA in 1963, received a BS in biology from the College of William and Mary in 1967, a B.S. in Physiological Optics in 1968 and a Doctor of Optometry from Pennsylvania College of Optometry in 1971. While on active duty with the U.S. Army, Dr. Smart earned a Masters in Business Administration from Long Island University.

Dr. Smart purchased the practice in 1977 from Dr. Martin Blatt who originally formed the practice in 1947 on Caroline Street. In 1981, he merged his practice with now retired, Dr. William Mitchell Powell. Over the past four decades, he has provided the Rappahannock region with comprehensive vision examinations while always maintaining a special interest in visually-related learning disabilities and pediatrics. He belongs to numerous optometric organizations both locally and on the national level and is a Fellow of the American Academy of Optometry and the Virginia Academy of Optometry. He is a past president of the Virginia Optometric Association. He also served eight years on the Virginia State Board of Optometry, and two years as president of the board.

Over the past twenty years, he has led and participated in mission trips to Chile, St. Lucia, Honduras, and Jordan. This has enabled him to help provide eye care to many indigent people in many different settings. Dr. Smart’s outside interests include gardening (roses in particular), fishing, civic clubs and church activities. He is a Deacon of the Fredericksburg Baptist Church, Past President of the Rappahannock Rotary Club and the Rappahannock Rose Society. Dr and Mrs. Smart have four daughters.


-1-38Dr. Church graduated with a Bachelor of Science degree from Virginia Tech and a Doctorate from the University of Alabama School of Optomety. After completion of his Doctorate, he completed a thirteen month residency in the diagnosis, treatment, and management of ocular diseases and ocular emergencies. Has has been practicing in both Fredericksburg and Culpeper, Virginia for over sixteen years.

Dr. Church is passionate about meeting all of the eye care needs of a family…from young pre-schoolers to their grandparents. His practice of optometry balances both well vision care and medical eye care. Daily, he cares for patients with glaucoma, macular degeneration, dry eyes, cataracts, eye emergencies and those in need of second opinions–as well as patients who need a comprehensive eye examination for new glasses or contact lenses. With years of eye care experience and a family that includes four children of his own, Dr. Church understands the importance of making each patient feel comfortable and cared for. He also knows how important it is to make healthcare convenient for busy families.

Dr. Church underwent laser vision correction (LASIK) in 1998. He provides a valuable resource to patients who are trying to make decisions between glasses, contact lenses and surgical correction. Whichever of these choices his patients are interested in, Dr. Church is able to offer the most technologically advanced solutions. For his patients interested in contact lenses, it is exciting to know that patients from ages 10 to 100 can find safe, convenient and comfortable contact lens options.

Premier Eyecare has been happy to welcome Dr. Church to the practice as of May 2014. When not seeing patients, Dr. Church enjoys running with his wife of 20 years and teaching 3rd graders at Salem Fields Community Church in Spotsylvania County.


Dr. Sonia Joshi Rose grew up in Huber Heights, a suburb of Dayton, Ohio before attending Miami University, where she earned a degree in Psychology with an emphasis on neuroscience. Her interests led her to Virginia as a summer intern at the Brain Research Lab at Radford University. When she was not studying, she performed & choreographed with Indian dance groups at various cultural festivals.

Upon completion of her undergraduate degree, she attended the Illinois College of Optometry in downtown Chicago, IL. She examined patients at the Illinois Eye Institute where she achieved Honors in Low Vision. While studying, she worked tutoring optometry students regarding binocular anomalies and color vision. While in graduate school, she mostly enjoyed ocular disease & her pediatric rotation while working with the local Head Start Program with the underserved population in the south side of Chicago.

She has worked in numerous clinics from D.C. to Richmond with both ophthalmologists and optometrists providing a variety of eye care to a varied population of patients. Skilled in Pre/Post-operative care for LASIK and Cataracts surgeries, she also performs comprehensive eye examinations, contact lens fittings, “red eye” exams as well as ocular disease management and treatment.

Having two young children at home has caused Dr. Joshi Rose to fall back in love with pediatric exams. With great patience she looks for problems that can cause these young patients to have trouble with school and coordination. She prescribes glasses, recommends vision therapy when needed, and works with educators to help children reach their full potential and not get discouraged or left behind.

When not working, Dr. Joshi Rose enjoys her family, decorating and crafting with her two kids and exploring the world of gluten-free, dairy-free cooking.


Dr. Lombardi Schwalb grew up in the suburbs of St. Louis, Missouri where her interest in Pediatric Optometry began at a young age after being a frequent visitor to the Children’s Hospital Eye Center as a patient.

In 2011, she received her Bachelor’s degree in Cell and Molecular Biology with a minor in Chemistry at Missouri State University in Springfield, Missouri. Following her undergraduate schooling, Dr. Lombardi Schwalb completed her Doctorate of Optometry at the University of Missouri- St. Louis. Her training included a variety of settings including the Indian Health Services hospital where she saw and managed patients with ocular disease as well as routine eye exams. Next, she completed a rotation at the Draisin Vision Group in Charleston, South Carolina which is a private practice where her passion for vision therapy blossomed and her contact lens knowledge grew. In addition, she trained at the Kansas City Children’s hospital where her focus was on pediatric primary care and disease.

After graduation, she completed a residency in Pediatrics and Vision Therapy at the Draisin Vision Group. Her most rewarding moments during residency include witnessing an adult esotropic patient achieve fusion for the first time, listening to patients tell her about how much they love to read and watching their confidence bloom after vision therapy, and helping a diplopic TBI patient learn to use his eyes together again following a car accident.

Philanthropic work is extremely important to Dr. Lombardi Schwalb. During optometry school, she went on a mission trip to Haiti, and in 2016, she went to Zambia. In both cases, she was able to work alongside an amazing team who saw thousands of patients and provided appropriate care to those in serious need. She was beyond humbled by these opportunities and cannot wait for her next trip!

Dr. Lombardi Schwalb currently lives in Fredericksburg, VA with her husband, Kyle and their two cats Captain and Booth. She enjoys traveling, reading, yoga, hockey (Let’s Go Blues!) and trying local breweries and restaurants with her husband. Fun fact: her cat Captain is an alternating esotrope!


It is with warm wishes that we announce the well deserved retirement of Dr. Charles Pegram, effective September 26, 2016. His hard work, commitment, and dedication to his patients, staff, and the optometric profession will always be valued and remembered.

Our practice will continue to serve our patients with excellent vision care by Drs. Tsai, Smart, and Church. We welcome Dr. Pegram’s patients and their family members to transfer their care to one of the remaining doctors. We will greatly miss him, but we wish him the very best with his future plans to spend time more time with his wife traveling to visit their children and grandchildren spread throughout the country.

On behalf of every one in our practice, we would like to wish Dr. Pegram the best of luck on his retirement and the next exciting chapter of his life.