2F7NQ GOLD GREY / 59-16-140
3YG9O LGH GOLD L / 59-16-140
DDBHA GOLD COPP / 59-16-140
SINGLE VISION PRESCRIPTION LENSES(WITH ANTI-GLARE)$100 BLUE-LIGHT FILTERING LENSES(NON-PRESCRIPTION)$75 FRAME ONLY / DEMO LENSES(DISPLAY LENSES INCLUDED)$0
JUICY COUTURE SUNWEAR: JU 643/G/S
Total
$192
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.