A global manufacturer of contact lenses and aftercare solutions
If you prefer to order by phone contact Patient Direct Customer Care at 800-341-2020
Eye Care Details
Membership Number: / *
Eye Care Professional's name:
Eye Care Professional's City:
Eye Care Professional's State:

Main Delivery Address
(Fields marked with * are mandatory.)
Last Name *
First Name *
Street *
Apt or Ste
City *
State *
Zip Code *
Ex: 5555555555
Email *  

Delivery Options
(Free Standard Shipping on orders of 6 bottles or more)
 (All orders will ship the following work day)

Product Details
Solution Type *
Solution Quantity *
No. of Bottles
Product Cost
Shipping Cost
Total Cost

Solution Order
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