Order Contact Lenses Online

Name: First Eye Care Prestonwood
Address: 5455 Belt Line Road, Suite 150, Dallas, Texas, 75254, United States of America
Telephone: +1-972-980-1772
Price range: $000 - $300

This form is to be used only by current patients of our office with valid contact lens prescriptions on file.

Name
First Last
Phone Number
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which Eye?
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Number of Boxes Per Eye
* 1 box per eye = 2 boxes total
* 2 boxes per eye = 4 boxes total
How many boxes per eye?
Number of boxes if other than 1 or 2 boxes per eye
Payment Details
If you will be picking up your order at the office, payment will be accepted at that time. If you would like the order shipped to your home, our office will contact you regarding payment information.
Pick Up/Delivery Options
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- I will come to the office to pick up order
- Please ship to me (shipping fees apply if less than a year's supply ordered)
Additional Comments/Special Requests

Order Contact Lenses Online

Which Eye?

Number of Boxes Per Eye

Payment Details

Pick Up/Delivery Options

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First Eye Care – Prestonwood