Contact Lens Order Form

  • Contact Lens Order Form

    Please answer the following questions to reorder your contact lenses. We will give you a call for payment & to verify your prescription.
  • Thank you for completing our contact lens order form. After submitting the form below, our staff will contact you for payment and to confirm your prescription.
  • This field is for validation purposes and should be left unchanged.

Contact Us


  • 1319 NE 134th ST.
  • Suite 107
  • Vancouver, WA, 98685


  Mon - Thur: 9 - 6; Fri: 8 - 4