Order Contact Lenses Online

Please note, filling out this form is a request to order contacts online. We have your prescription on file. Just let us know how many boxes of lenses you need, and our office will follow-up with you regarding order details and payment options. Thank you.

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Clarify "other" if required
Additional Notes

Did you know that you can use your flexible spending (FSA) dollars to purchase prescription eyeglasses, prescription sunglasses, and prescription contact lenses?

Top brands including Maui Jim are eligible for use of your FSA funds.

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