Contact Lens Order Form
Contact Lens Order Form
PLEASE NOTE: Any order placed after 12:00 AM on December 23, 2024, will be processed in 2025. If you want to use 2024 expiring insurance or vision benefits, you must submit this form prior to this deadline. Thank You.
We offer a convenient way to order contacts. Use the form below and we will provide you with a quote for our lowest price on your lenses within two business days. We'll also check your insurance and look for special rebates to save you even more. Please be aware that this form is not for re-ordering specialized medical contact lenses such as scleral lenses or PROSE.
One-year supply orders qualify for FREE shipping. Shorter-term orders may be subject to shipping and handling charges.