086LA HVN / 53-18-140
8079O BLACK / 53-18-140
8XS9O HVN MULTIC / 53-18-140
B3VQR VIOLET / 53-18-140
SINGLE VISION PRESCRIPTION LENSES(WITH ANTI-GLARE)$100 BLUE-LIGHT FILTERING LENSES(NON-PRESCRIPTION)$75 FRAME ONLY / DEMO LENSES(DISPLAY LENSES INCLUDED)$0
KATE SPADE SUNWEAR: JAVANA/G/S
Total
$176
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.