ORDER FORM
Select Lenses
Quantity
Submit Order
Welcome Section Left Side
Welcome to our Contact Lens Portal
Would you like us to use your current prescription?
*
Please use my existing prescription
I'll provide it here with my order
Welcome Section Right Side
Would you like Delivery or Pickup?
Please select your preference:
*
Pick-up at our store location
Deliver to my address
Select a Brand to get started
Browse by Brand
*
logo
acf-forms
activecampaign
authorize
aweber
bootstrap
campaignmonitor
constant_contact
getresponse
googlesheets
highrise
hubspot
mailchimp
mailpoet
paypal icon
polylang
salesforce
salesforcealt
stripe
stripealt
twilio
woocommerce
Zapier
required
delete
move
drag
clear
noclear
duplicate
copy
clone
tooltip
tooltip_solid
forbid
checkmark
image
checkmark circle
checkmark square
check
check1
plus
plus1
plus2
plus3
plus4
minus
minus1
minus2
minus3
minus4
cancel
cancel1
close
report_problem_solid
report_problem
arrowup
arrowup1
arrowup2
arrowup3
arrowup4
arrowup5
arrowup5_solid
arrowup7
arrowup6
arrowup8
arrowdown
arrowdown1
arrowdown2
arrowdown3
arrowdown4
arrowdown5
arrowdown5_solid
arrowdown7
arrowdown6
arrow_left
arrow_right
filter
download
upload2
download2
hard_drive
pencil_solid
pencil
pencil-message
signature
register
account_circle_solid
account_circle
address_card
paragraph
checkbox_unchecked
checkbox
checkbox_solid
dropdown
caret_square_down
radio_unchecked
scrubber
location_solid
location
toggle_on
toggle_off
shield_check
shield_check_solid
clock
clock_solid
email_solid
mail_bulk
code
tag
tag_solid
price_tags
search
sitemap
file
file_text_solid
file_text
option
option_solid
more_horiz
more_vert
more_horiz_solid
more_vert_solid
calculator
key
key
Filled Key Icon
keyboard
eye
eye_solid
eye_slash_solid
page_break
view_day
attach_file
printer
header
h1
repeat
repeater
save
sliders
code_commit
star
star_full
star_half
star_feedback
linear_scale
pie_chart
stats_bars
sms
feed
align_right
align_left
button
browser
cloud_upload_solid
shuffle
swap
pallet
fingerprint
ghost
heart_solid
heart
history
import
export
label_solid
label
lock_open
lock
alt_lock
dollar_sign
percent
notification
external_link
pageview_solid
pageview
settings
stamp
support
text
white_label
building
icontact
sendinblue
sendy
wordpress
credit_card
credit_card_alt
cc_amex
cc_discover
cc_mastercard
cc_visa
cc_paypal icon
cc_stripe
price
product
total
quantity
directory
Preview
Wear Schedule:
Daily
Fortnightly
Monthly
Filter by Lens Type:
Spherical
Toric
Multifocal
Select Your ProVision Contact Lenses
ProView - 30 pack
ProView - 30 pack
ProView - 90 pack
ProView - 90 pack
ProView Elite - 30 pack
ProView Elite - 30 pack
ProView Elite - 90 pack
ProView Elite - 90 pack
ProView Elite Astigmatism - 30 pack
ProView Elite Astigmatism - 30 pack
ProView Elite Astigmatism - 3x30 pack
ProView Elite Astigmatism - 90 pack
ProView Perform - 30 pack
ProView Perform - 30 pack
ProView Perform - 90 pack
ProView Perform - 90 pack
ProView Perform Astigmatism - 30 pack
ProView Perform Astigmatism - 30 pack
ProView Perform Astigmatism - 3x30 pack
ProView Perform Astigmatism - 90 pack
ProView Multifocal - 30 pack
ProView Multifocal - 30 pack
ProView Perform Multifocal - 30 pack
ProView Elite Multifocal - 30 pack
ProView Perform Multifocal - 3x30 pack
ProView Elite Multifocal - 90 pack
Proview Elite Multifocal - 30 pack
ProView Elite Multifocal - 30 pack
Proview Elite Multifocal - 90 pack
ProView Elite Multifocal - 90 pack
ProBalance - 3 pack
ProBalance - 3 pack
ProBalance Astigmatism - 3 pack
ProBalance Astigmatism - 3 pack
ProBalance Enhance - 3 pack
ProBalance Enhance - 3 pack
ProBalance Multifocal - 3 pack
ProBalance Multifocal - 3 pack
Select Your CooperVision Contact Lenses
Biofinity XR - 6 pack
Biofinity XR - 6 pack
Biofinity XR Toric - 6 pack
Biofinity XR Toric - 6 pack
Biofinity XR Toric Multifocal D Lens - Monthly - 6 Pack
Biofinity XR Toric Multifocal D Lens - Monthly - 6 Pack
Biofinity XR Toric Multifocal N Lens - Monthly - 6 Pack
Biofinity XR Toric Multifocal N Lens - Monthly - 6 Pack
Select Your Acuvue Contact Lenses
Acuvue Oasys - 6 pack
Acuvue Oasys - 6 pack
Acuvue Oasys - 12 pack
Acuvue Oasys - 12 pack
Acuvue Oasys 1-Day with HydraLuxe - 30 Pack
Acuvue Oasys 1-Day with HydraLuxe - 30 Pack
Acuvue Oasys 1-Day with HydraLuxe - 90 Pack
Acuvue Oasys 1-Day with HydraLuxe - 90 Pack
Acuvue Oasys Max 1 Day - 30 pack
Acuvue Oasys Max 1 Day - 30 pack
Acuvue Oasys Max 1 Day - 90 pack
Acuvue Oasys Max 1 Day - 90 pack
Acuvue Oasys Max 1 Day Multifocal - 30 pack
Acuvue Oasys Max 1 Day Multifocal - 30 pack
Acuvue Oasys Max 1 Day Multifocal - 90 pack
Acuvue Oasys Max 1 Day Multifocal - 90 pack
Select Your Alcon Contact Lenses
DAILIES Total1 - 30 pack
DAILIES Total1 - 30 pack
DAILIES Total1 - 90 pack
DAILIES Total1 - 90 pack
DAILIES Total1 for Astigmatism - 30 pack
DAILIES Total1 for Astigmatism - 30 pack
DAILIES Total1 for Astigmatism - 90 pack
DAILIES Total1 for Astigmatism - 90 pack
DAILIES Total1 Multifocal - 30 pack
DAILIES Total1 Multifocal - 30 pack
DAILIES Total1 Multifocal - 90 pack
DAILIES Total1 Multifocal - 90 pack
DAILIES AquaComfort Plus - 30 pack
DAILIES AquaComfort Plus - 30 pack
DAILIES AquaComfort Plus - 90 pack
DAILIES AquaComfort Plus - 90 pack
Precision1 - 30 pack
Precision1 - 30 pack
Precision1 - 90 pack
Precision1 - 90 pack
Precision1 for Astigmatism - 30 pack
Precision1 for Astigmatism - 30 pack
Precision1 for Astigmatism - 90 pack
Precision1 for Astigmatism - 90 pack
Total 30 - 3 pack
Total 30 - 3 pack
Total 30 - 6 pack
Total 30 - 6 pack
Total 30 for Astigmatism - 3 pack
Total 30 for Astigmatism - 3 pack
Total 30 Multifocal - 3 pack
Total 30 Multifocal - 3 pack
Air Optix Plus Hydraglyde - 3 pack
Air Optix Plus Hydraglyde - 3 pack
Air Optix Plus Hydraglyde - 6 pack
Air Optix Plus Hydraglyde - 6 pack
Air Optix Plus Hydraglyde for Astigmatism - 3 pack
Air Optix Plus Hydraglyde for Astigmatism - 3 pack
Air Optix Plus Hydraglyde Multifocal - 3 pack
Air Optix Plus Hydraglyde Multifocal - 3 pack
Air Optix Night and Day Aqua - 6 pack
Air Optix Night and Day Aqua - 6 pack
If you are human, leave this field blank.
Next
Start Over
Login
Remember me
Forgot Password?
Sign in
Lost your password? Please enter your username or email address. You will receive a link to create a new password via email.
Email Reset Link
body::-webkit-scrollbar { width: 7px; } body::-webkit-scrollbar-track { border-radius: 10px; background: #f0f0f0; } body::-webkit-scrollbar-thumb { border-radius: 50px; background: #dfdbdb }