Order Contact Lenses

Conveniently order your contact lenses online and pick them up at one of our three convenient locations. Fill out the form below and we will contact you within one business day to confirm.

If your contact lens prescription is over one year old, you will need to come in for an eye exam before ordering lenses.

Order Form

First Name:

Last Name:

Date of Birth:

Day Time Phone:

Email:

Name of Product:

Type of Lense:

Lens Required:

Right Eye
Left Eye

Quantity:

3 months
6 months
1 year

Name of
Optometrist:

Place of last
purchase:

Comments:

Print Web Coupon

Eye Glasses Frames Promotion

Buy one, get one half price.*

*Some restrictions apply. Call or see in store for details.

Visit one of our three convenient locations:

Be proactive about your eye health. Book an appointment for our thorough eye exams.
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