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Order Contact Lenses Online

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

  • Number of Boxes Per Eye

    * 1 box per eye = 2 boxes total
    * 2 boxes per eye = 4 boxes total
  • 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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