4321 / 54-18-140
2216 / 54-18-140
1162 / 54-18-140
78 / 54-18-140
3782 / 54-18-140
100 / 54-18-140
SINGLE VISION PRESCRIPTION LENSES(WITH ANTI-GLARE)$100 BLUE-LIGHT FILTERING LENSES(NON-PRESCRIPTION)$75 FRAME ONLY / DEMO LENSES(DISPLAY LENSES INCLUDED)$0
FACE A FACE EYEWEAR: NORMA 4
Total
$530
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.