4513 – GREEN / 52-17-134
5523 – BROWN / 52-17-134
6523 – RED / 52-17-134
3735 – BLUE / 52-17-134
SINGLE VISION PRESCRIPTION LENSES(WITH ANTI-GLARE)$100 BLUE-LIGHT FILTERING LENSES(NON-PRESCRIPTION)$75 FRAME ONLY / DEMO LENSES(DISPLAY LENSES INCLUDED)$0
LAFONT: JESSICA
Total
$0
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.