01A - SHINY BLACK / SHINY BLACK / 59-15-145
39F - SHINY DARK YELLOW / SHINY DARK YELLOW / 59-15-145
52B - DARK HAVANA / DARK HAVANA / 59-15-145
53N - BLONDE HAVANA / BLONDE HAVANA / 59-15-145
SINGLE VISION PRESCRIPTION LENSES(WITH ANTI-GLARE)$100 BLUE-LIGHT FILTERING LENSES(NON-PRESCRIPTION)$75 FRAME ONLY / DEMO LENSES(DISPLAY LENSES INCLUDED)$0
TOM FORD SUNWEAR: FT1177
Total
$360
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.