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
  • Daily MonthlyBi 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 months 6 months1 year
    • Please write your full name*: