Order Your Contact Lenses

Please fill out form below to order contact lenses (* Required Fields). If your contact lens prescription is current, your order will normally be placed within one business day.

Please note all contact lens wearers require an annual eye health exam before more lenses can be purchased.

I am a patient at: *

Patient name *:

Home phone:

Work phone:

E-mail *:

Date of birth:

Quantity ordered *:

Delivery preference *

Pickup

Mail (a fee may apply)

Courier (a fee may apply)

Comments or questions:

* is a required field