Build my lenses

Choose your lenses

{{opt.Title}}

{{opt.Description}}

Select your RX Type

{{opt.Title}}

{{opt.Description}}

Choose Correction For Distance Reading

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Select the material

{{opt.Title}}

{{opt.Description}}

Select one or more add-ons

{{opt.Title}}

{{opt.Description}}

I want my lenses Clear without Tint

I want my lenses Tinted

I want my lenses with Transitions

I want my lenses Polarized

Color Tinted

Polarized

Transitions

Transitions Xtra Active

Solid

Gradient

Tint Color

Tint Density

{{LensColor.Tinted.Density}}%

Preview

{{getTintColorName}}
{{getDensityInfo}}

Mirror Coating:{{getTintMirrorCoatingColorName}}

Polarized Lens Options

Grey

Brown

Green

Blue

Mirror Coating:{{getPolarizedMirrorCoatingColorName}}

Transitions Lens Options

Grey

Brown

Green

Blue

Pink

Purple

Transitions Lens Options

Grey

Brown

How would you like to provide your prescription info?

Enter Prescription Data Upload Prescription File Call My Doctor

	Sphere	Cylinder	Axis	Add
Right (OD):	{{n==0 ? 'Plano' : (n>0 ? '+' + n.toFixed(2) : n.toFixed(2))}}	{{n==0 ? 'None' : (n>0 ? '+' + n.toFixed(2) : n.toFixed(2))}}	{{n==0 ? 'None' : n.toFixed(0)}}	{{n==0 ? 'None' : (n>0 ? '+' + n.toFixed(2) : n.toFixed(2))}}
Left (OS):	{{n==0 ? 'Plano' : (n>0 ? '+' + n.toFixed(2) : n.toFixed(2))}}	{{n==0 ? 'None' : (n>0 ? '+' + n.toFixed(2) : n.toFixed(2))}}	{{n==0 ? 'None' : n.toFixed(0)}}	{{n==0 ? 'None' : (n>0 ? '+' + n.toFixed(2) : n.toFixed(2))}}

By submitting this form you authorize us to obtain your prescription directly from your doctor.

Patient's Name

Patient's Date Of Birth

Year {{ year }}

Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Doctor's Name

Doctor's Phone Number

Doctor's Fax Number

Reading Power: {{n > 0 ? '+' + n.toFixed(2) : n.toFixed(2)}}

Pupilary Distance (PD)

What's This?

I know my PD Upload my PD Self Test I need to measure my PD

Right PD

Left PD PD

I have 2 PD's

Add Prism

	Vertical Prism	Base Direction	Horizontal Prism	Base Direction
Right Eye (OD):	None {{n.toFixed(2)}}	None Up Down	None {{n.toFixed(2)}}	None In Out
Left Eye (OS):	None {{n.toFixed(2)}}	None Up Down	None {{n.toFixed(2)}}	None In Out

About your frame.

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Brand *

Model (recomended)

Color (optional)

Size (optional)

About your progressive lenses.

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By asking these questions we can select a progressive design that better suits your specific needs.

This is my first time wearing progressive lenses.

I would like to speak to an optician about my progressive lenses.

Patient's Name *

Email Address

Phone Number

I would like to use my glasses more for:

Reading

Computer

Regular use

About any other requests.

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Send me a box and label to ship my frames. (United States only)

Email me a shipping label and I will use my own box. (United States only)

Email me instructions to ship my frames. (For international orders only)

Frame Liability Acknowledgment.

Summary

• Lens Type

  {{currLenses.Title}}

• RX Type

  {{currRXType.Title}}

• Material

  {{currMaterial.Title}}
  {{formatPrice(currMaterial.Price)}}

• Add-Ons

  {{addon.Title}} - {{formatPrice(addon.Price)}}
  
  {{formatPrice(addonstotal)}}

• Prism

  ${{PrismData.Price}}

• Lens Color

  {{getSelectedLensColorName}}
  {{formatPrice(getSelectedLensColorPrice)}}

• Box and Label Fee

  {{formatPrice(getSelectedLabelActionPrice)}}

• Digital Label Fee

  {{formatPrice(getSelectedLabelActionPrice)}}
• Total (USD) {{formatPrice(summarytotal)}}