086LA HVN / 56-18-145
807WJ BLACK / 56-18-145
B3VKL VIOLET / 56-18-145
PJPC3 BLUE / 56-18-145
SINGLE VISION PRESCRIPTION LENSES(WITH ANTI-GLARE)$100 BLUE-LIGHT FILTERING LENSES(NON-PRESCRIPTION)$75 FRAME ONLY / DEMO LENSES(DISPLAY LENSES INCLUDED)$0
POLAROID SUNWEAR: PLD 4176/S/X
Total
$88
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.