05T MT GRY PAL / 55-18-140
05T MT GRY PAL / 58-18-145
08A BLACKGREY / 55-18-140
08A BLACKGREY / 58-18-145
1DC BLUGRNFLU / 55-18-140
1DC BLUGRNFLU / 58-18-145
D51 BLK BLUE B / 58-18-145
SINGLE VISION PRESCRIPTION LENSES(WITH ANTI-GLARE)$100 BLUE-LIGHT FILTERING LENSES(NON-PRESCRIPTION)$75 FRAME ONLY / DEMO LENSES(DISPLAY LENSES INCLUDED)$0
UNDER ARMOUR EYEWEAR: UA 5064/G
Total
$160
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.