001 - SHINY BLACK / SHINY PALE GOLD / 56-15-140
030 - SHINY DARK GREEN / SHINY DEEP GOLD / 56-15-140
066 - SHINY DARK RED / SHINY PALE GOLD / 56-15-140
025 - SHINY IVORY / SHINY ROSE GOLD / 56-15-140
081 - SHINY VIOLET / SHINY PALE GOLD / 56-15-140
SINGLE VISION PRESCRIPTION LENSES(WITH ANTI-GLARE)$100 BLUE-LIGHT FILTERING LENSES(NON-PRESCRIPTION)$75 FRAME ONLY / DEMO LENSES(DISPLAY LENSES INCLUDED)$0
MAXMARA EYEWEAR: MM5130
Total
$275
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.