(972) 215-7500

North Texas EyeMD

Order Contact Lenses

We offer a full range of soft and RGP contact lenses for our patients. If you would like to re-order contacts, please fill out the form below.  Your information is transmitted through a secure connection to protect your personal information.  Contacts will be shipped directly to you from the manufacturer.

 

Name:
Street Address:
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Email Address:
How Many Boxes? Right Eye:
Left Eye:   


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Verification Code: (3-digit code located on back of card or 4-digit code on front)
Expiration Date: Month: / Year:
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