Contact Lens Re-Order (Deposit)

$10.00

Contact lense re-ordering happens in 3 easy steps:

Provide your information, shipping preferences, and payment details below, then submit your deposit.
After receiving your deposit, we will look up your subscription details, process your order, and charge the balance payment to your card.
Your order will be prepared for pickup/shippment.

Category: Uncategorized

Billing details

First name *

Last name *

Company name (optional)

Country / Region *

Street address *

Apartment, suite, unit, etc. (optional)

Town / City *

State *

ZIP Code *

Phone *

Email address *

Create an account?

Create account password *

Ship to a different address?

First name *

Last name *

Company name (optional)

Country / Region *

Street address *

Apartment, suite, unit, etc. (optional)

Town / City *

State *

ZIP Code *

Order notes (optional)

Your order

Product Quantity	Total
Cart Subtotal	$0.00
Tax	$0.00
Order Total	$0.00

Credit Card
Pay with your credit card via Stripe. TEST MODE ENABLED. In test mode, you can use the card number 4242424242424242 with any CVC and a valid expiration date or check the Testing Stripe documentation for more card numbers.
- Use a new payment method
Card Number *

Expiry Date *

Card Code (CVC) *

Save payment information to my account for future purchases.

Update TotalsUpdate totals

Contact Us

Visit Our Office

Mon - Wed: 9am-5pm
Thu: 10am-6pm
Fri: Closed
Sat: By Appointment
Sun: Closed

Mahopac Ophthalmology

7 Miller Rd
Mahopac, NY 10541

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