Order Contact Lens

Ordering your next supply of contact lenses is just a few clicks away. Please fill out the form below. Most contact lenses arrive within 1 to 2 business days, depending on stock availability.

Online ordering of contact lens supplies is provided as a service to our current patients only.


*First Name:

*Last Name:

E-mail Address:

*Phone:

Contact Lens:
I need lenses for both my left & right eyes
I need lenses for my left eye only
I need lenses for my right eye only

Supply Amount:
1 Year Supply
6 Month Supply

Lens Solution:
Yes
No

Options:
Call me when my order is ready. I will pick up and pay for them at the office
Deliver my contact lenses to my address. I will phone the office to provide my credit card number. (additional charges will apply)

Special Instructions(if any):

*Security Question(avoids spam):
Ten minus five =

Please note: DO NOT send your credit card number through this form. This is not a secure page. Orders for delivery will not be processed until full payment has been received.