Order Contact Lenses

Fill out the information below to submit your contact lens order. Parker Eye Center will contact you to confirm your order and obtain payment.

If you have any questions, please call 407-841-1491 ext 104. (*required)


NOTE: The pricing on this form is for estimating purposes only. There is no guarantee that this will be your final price. Please call us if you have any questions. For more information on Acuvue Brand contact lenses click here.

Type/Brand/Power of Contact Lens:*

Left Box(es) $0.00
Right Box(es) $0.00
Total: $0
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