Contact Lenses

Reorder contact lenses using the form below. A staff member will contact you to verify your order.

Fields marked with a (*) are required.

First Name*

Last Name*

Date of Birth* (mm/dd/yyyy)

Contact phone number* (where we can call you to verify your order)

Do you have a current prescription with Barnett Vision Center?*
   Yes     No

How many contacts do you want to order?*
    1 yr supply (discount if order 1 yr supply at one time)
   single order

If you order a one year supply (generally four or more boxes) and your contact lens order is paid for before it arrives your contacts will be shipped directly to you at no charge. Otherwise when it arrives you can pick it up at Barnett Vision Center, 508 Moccasin Drive, and pay for it at that time.

Do you have any vision insurance to submit contacts to?*
   VSP
   Medicare
   Medicaid
   Other/unsure
   None