Order Contacts

If you are an established patient who would like to order contacts on-line, please fill out the form below.

New patients, please call (920)743-5053 and we would be happy to help you.

Please note that if you choose to pick up your contacts in our office, we will call you when they are ready.

If you choose to have your contacts shipped to you, we will ship them within 2 business days if they are in stock. Most contacts that need to be ordered will ship within one week.

Please call us at (920)743-5053 if you have any questions!

Be sure to click the submit button below to place your order.

Patient's Name*
Patient's Birthday*
Phone*
Email*
How many boxes would you like to order for the right eye (OD)?*
How many boxes would you like to order for the left eye (OS)?*
How would you like to receive your lenses?*
- I'll pick them up from the office
- I would like them delivered
*
Street Address Address Line 2 City State ZIP Code
Note any additional information about your contact lenses.
Thank you. Our office staff will contact you if needed.
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