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Order your contact lenses online!

For your convenience, we would like to invite you to order your replacement contact lenses via our web site. Fill in the information below and when we receive your order we will mail your contact lenses, or hold them at the office for pick up. Your request will be confirmed by phone or e-mail.

Name
Are you presently a patient?   
Do we have your current prescription on file?
Note, if you need an appointment you can request one online.
Address
Phone
Email
Type/Brand of Contacts
Quantity:
Right eye
Left eye
Please mail my contact lenses (additional charge)
Hold for pick-up
Comments

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