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Home
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Contact Lenses
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Boston
:
Boston II
Boston Boston II
Retail Price:
$69.00
Our Price:
$44.95 per Vial
Lens Type:
Gas Permeable
Lenses per Vial:
1
Select Lens Color / Type:
Select:
Lens Color / Type:
blue
green
brown
Contact Lens Prescription:
Please Enter your Contact Lens Prescription exactly as seen on your Doctors Prescription
(Non-Astigmatic Prescription)
Example: -2.75 8.7 14.0
*Note: Fill Out Fields that Apply
Eye:
Power:
BaseCurve:
Diameter:
Right
(OD):
Left
(OS):
RX Doctors Information:
in order to process this prescription, we will need you to fill out the following doctor information so we could verify your prescription.
*Note: Prevent Additional Delays by Faxing a Copy of your Prescription to us Toll-Free: (888) 579-1155
You can also ask your Eye Doctors Office to Fax this Information to us for you.
Patients Date of Birth is used to Ensure Confirmation Accuracy with your Eye Doctors Office
Patients Name:
Date of Prescription:
Month
January
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September
October
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Year
2000
2001
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2005
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2008
2009
2010
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2014
2015
Doctors Full Name:
Patients D.O.B.:
*Optional
Doctors Office Phone:
Quantity Desired:
Eye:
Quantity Per Eye:
Right
(OD):
Left
(OS):
WARNING: IF YOU ARE HAVING ANY UNEXPLAINED EYE DISCOMFORT, WATERING, VISION CHANGE, OR REDNESS,
REMOVE YOUR LENSES IMMEDIATELY AND CONSULT YOUR EYE CARE PRACTITIONER BEFORE WEARING YOUR LENSES AGAIN.
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