014 SAFINOX / 58-16-145
BX4 MARRONE / 54-16-135
BX4 MARRONE / 56-16-140
BX4 MARRONE / 58-16-145
SINGLE VISION PRESCRIPTION LENSES(WITH ANTI-GLARE)$100 BLUE-LIGHT FILTERING LENSES(NON-PRESCRIPTION)$75 FRAME ONLY / DEMO LENSES(DISPLAY LENSES INCLUDED)$0
ELASTA EYEWEAR: E 3060
Total
$176
Anti-Glare $90 Blue light filter $50
We accept jpg,pdf and png
Doctor name
Doctor number
Patient name
PATIENT'S DOB
/
There is a maximum of 3 products allowed in 1 order.