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Contact Lens Order Form

Already a patient? Re-ordering your lenses is easy! Simply fill out the form below and we will contact you to confirm your order and process payment securely.
    *Note: Volume discount and rebates apply only to 6 and 12 month supplies.
  • Pickup/Delivery Options

  • *Shipping charges may apply
  • (if different from home address)
  • Billing

Check out our VIRTUAL Frame Gallery & try on some frames!