prescription eyewear prescription glasses
Wednesday, February 22, 2012
 
 
 

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VISTAKON - ACUVUE 2 COLOURS OPAQUE

Retail Price: $37.00
Our Price: $37.00
Per Unit Savings: $0.00

  QTYPOWERBCDIACOLOR
Right Eye (OD)8.3014.00
Left Eye (OS)8.3014.00
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Doctor's Name 
Doctor's Phone # (xxx)xxx-xxxx 
Patient's Birthday (mm/dd/yyyy) (many clinics require this for their record search)
Date of Exam
 

 

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