ORDER CONTACT LENSES

Order Contact Lenses

You can order your contact lenses online and a staff member will contact you to confirm your order.

  • First Name *

  • Last Name *

  • Daytime Phone Number *

  • Evening Phone Number

  • Email Address *

  • Birthday

  • 3 or 6 or 12 months

  • Supply

  • DailyMonthlyBi Weekly

  • Additional Notes

    • RX  Contact Lenses

    Fill out your prescription to purchase (We’ll update your order after we verify the Rx):

    • R-Sphere *

    • L-Sphere *

    • R-CYL

    • L-CYL

    • R-AXIS

    • L-AXIS

    • ADD

    • Package Order:

    • 1 month3 months6 months1 year

    • Please write your full name*: