Place Your Contact Lens Order Online

Current Patients

If your last eye exam was within the last 12 months, you may order your contacts here. Fill out the form below and we will notify you via email with the total cost and estimated date to pick up your lenses.

If you are not sure of your last eye exam; just fill out the form below and we will notify you if we are unable to process your order.

If you would like to have your order shipped to you; please let us know and we will call you for your credit card information.

Don't forget to give us the phone number you would like us to call to contact you.

Other Patients

If you are not a current patient but would like us to order contact lenses for you; please fill in the form below and we will contact you with the total cost and estimated date to pick up your order. You may request that your contact lenses be shipped to you.

A credit card is required to place your order.

Note: You Must Have A Valid Contact Lens Prescription To Place An Order!

A valid contact lens prescription is one written by a licensed eyecare practitioner within 12 months of the date of your request. A copy may be faxed to our office at 973-691-8060 or we may obtain it from your practitioner directly.

Patient First Name:* Last Name:*
Address:
City, State and Zip Code:
Person to Contact:*
PhoneNumber:* Email Address:*
Contact Lens Supply Quantity:* 3 Months (ie. 2 boxes for 2 week disposable lenses)
6 Months (ie. 4 boxes for 2 week disposable lenses/2 boxes for monthly lenses)
1 Year (ie. 8 boxes for 2 week disposable lenses/4 boxes for monthly lenses)
Other Supply
Dispensing Information:* Pick Up At Office
Ship To Patient
Comments:
* required fields
   
Thank You For Your Request. You Will Hear From Us Shortly.