Contact Lens Order Form

Please Note: In order to complete any contact lens order, patients must have had a contact lens evaluation within the past calendar year with updated lens information on file. Otherwise, please call our office if you need to schedule an appointment.

If you would like to preview our CL price list, please click on the link below. Prices are set at per lens/box pricing. Some manufacturers offer mail-in rebates, ranging from $30 - $80, for disposable supplies that are ordered in 6 month or yearly quantities. These will automatically be sent with your order.

  • Order Information

    For non-disposable Contact Lens wearers:
  • For disposable Contact Lens wearers:
  • *Most brands package 6 lenses/box
  • *Most brands package 6 lenses/box

  • Personal Information

  • MM slash DD slash YYYY
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Please include non-medical questions and correspondence only.

Locations

Flemington

Office Hours

Mon: 8:00am – 4:00pm
Tues: 8:00am – 7:00pm
Wed: 8:00am – 5:00pm
Thurs: 8:00am – 4:00pm
Friday: 8:00am – 4:00pm
Sat: 8:00am – 12:30pm
(1st Saturday of the month)

Clinton

Office Hours

Mon: 11:00am – 7:00pm
Tues: 8:00am – 4:00pm
Wed: 8:00am – 4:00pm
Thurs: 8:00am – 4:00pm
Fri: 8:00am – 4:00pm

Bridgewater

Office Hours

Mon: 8:00am – 4:00pm
Tues: 8:00am – 4:00pm
Wed: 8:00am– 4:00pm
Thurs: 8:00am – 4:00pm
Fri: 8:00am – 4:00pm

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