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CONTACT LENS ORDERING INFORMATION

You may order contact lenses if your last
eye health exam was less than 12 months ago.

Otherwise, you need to schedule an appointment.

Contact Lens Order Form

First Name:
Last Name:
Last Doctor Seen:
Daytime Phone Number:
Evening Phone Number:
Your Email Address:

What lenses can we get for you?
Please specify including eye and quantity

Is there anything else we need to know?

Would you like these lenses mailed directly to you?
($5 shipping fee may apply)
Yes   No

You can expect one of our staff to confirm your order by phone within
48 hours and collect payment information.

If you have a contact lens related emergency or need
contact lenses on an urgent basis, please do NOT e-mail.
Instead call us at (818) 623-8900

 

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2001Valley Eye Professionals
An Optometric Corporation

12229 Ventura Boulevard
Studio City, California 91604
Office: (818) 623-8900
Fax:     (818) 623-0978

E-Mail: veyep2000@yahoo.com