Order Contact Lenses

Name *

First

Last

Phone Number *

Are You Our Patient? *

Yes No

If you are not our Patient and are trying to order contact lenses through our facility, please have your current doctor fax your contact lens prescription to our office (951)248-0099.
WARNING: Contact lens prescriptions are valid for only 1 year. By law, we are unable to fill any expired prescriptions.

Desired Contact Lens Brand & # of Boxes *

Mailing Address (A charge for shipping and handling will be applied) *

Submit

Thank you for choosing Eye-C-You Optometry! After submitting, we will contact your shortly to confirm your order and assist with payment.