Choose your lenses
{{opt.Title}}
{{opt.Description}}
Select your RX Type
{{opt.Title}}
{{opt.Description}}
Select the material
{{opt.Title}}
{{opt.Description}}
Select one or more add-ons
{{opt.Title}}
{{opt.Description}}
How would you like to provide your prescription info?
Sphere | Cylinder | Axis | Add | |
---|---|---|---|---|
Right (OD): | ||||
Left (OS): |
By submitting this form you authorize us to obtain your prescription directly from your doctor.
Tell Us about your frame or any other requests.
Summary
-
Lens Type
{{currLenses.Title}} -
RX Type
{{currRXType.Title}} -
Material
{{currMaterial.Title}} -
Add-Ons
{{addon.Title}} - ${{addon.Price}}
- Total (USD) ${{summarytotal}}