Oakmont Eye Care - Oakmont Optometrist


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Order Contact Lenses Online

Re-ordering your lenses is easy! Simply fill out the form below, and we will contact you to confirm your order and process payment securely.

First Name *

Last Name *

Email *

Phone *

Reorder Quantity (quantity ordered may be adjusted according to exam date)

1 year supply     6 Month Supply    90 Day Supply     30 Day Supply

*Note: Rebates are valid within 60 days of exam date and apply only to specific brands and 6 or 12 month supplies

Pickup/Delivery Options
I will pick up at the office Yes     No

I want my order shipped to my address Yes     No

**Shipping charges will be applied on quantities ordered less than a year supply

Shipping Address:

Additional Comments

Use Vision Insurance? Yes     No