Prescription

Input Your prescription data here. You will have to input four times. Enter your prescription for your right eye then hit input, you will go to shopping cart, then hit keep shopping to return to the prescription page to input your left eye prescription. Follow the same routine until all data is input. Or contact us with your Doctor's name and phone number, and we should be able to get your prescription. Or you can fax your prescription to 262-377-7287.


O.D. (right)
RightSphere:  Cylinder:  Axis:  Add: 
O.S. (left)
LeftSphere:  Cylinder:  Axis:  Add: 
Pupillary distance
Pd.: 
Doctor information
DoctorsName: Phone: