Contact Lens Orders – Eye Care Associates of Wichita

I really appreciate the friendly and caring service I receive. It makes the hour drive well worth it.

“

SHAWN

CONNECT WITH US

To order contact lenses please fill out the information below. If you are unsure of the brand of supply you need please specify in the notes section and we will contact you. If you are not a patient of Eye Care Associates of Wichita please fax you contact lens prescription to 316.685.4170.

CONTACT LENS ORDERS

Name: Your Name

Required

Email: name@email.com

Required

Contact Lens Brand: Enter Contact Brand

Required

Date of Birth: Enter Date of Birth

Required

Phone: Enter Phone

Required

Insurance: Enter Insurance

Required

Boxes: Enter Quantity of Boxes

Required

Contact Lens Solution: Enter Contact Solution

Required

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Notes: Add a brief message...

Required

Bottles: Enter Quantity of Bottles

Required

Leave this empty:

Contact Lens prescriptions must be up to date to place order.

If contact lens prescription is not from Eye Care Associates
of Wichita please fax to 316.685.4170.