DIRECTIONS TO OUR OFFICES
708 S. BIBB
LOOP LOCATION
MEET THE STAFF
MEET THE DOCTORS
DR. CARLOS RODRIGUEZ
DR. CHARLES CAMPBELL
DR. MAURICE VALENTINI
LENS INFORMATION
LENS DESIGNS
SPECIALTY LENSES
LENS TREATMENTS
LENS MATERIALS
SPECIAL ASSISTANCE PROGRAM
EYE PROBLEMS
CAREER OPPORTUNITIES
F.A.Q.
AROUND TOWN
*
denote required fields.
First Name:
Last Name:
Street Address:
Email Address:
Phone #:
Prescription:
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On File
Will Fax To (830)757-2229
Contact Lens Quantity RIGHT EYE:
choose one...
1
2
3
4
5 +
Contact Lens Quantity LEFT EYE:
choose one...
1
2
3
4
5+
Pickup Location:
choose one....
708 South Bibb
LOOP LOCATION
NOTES TO ORDER FILLER: