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D58
Starting at: $49.99
Designer Womans Plastic Frame
Please Choose:
Color
Black
Black Crystal
Brown
Burgundy
Cognac
Tort
Size
53-16-140
53-17-140
Lens Type
Frame Only (-$20.00)
Single Vision
Bifocal (+$25.00)
Progressive (+$50.00)
Single Vision Options
Plastic Lenses (Included)
Hi Index 1.60 Lenses (+$70.00)
Polycarbonate Lenses (+$9.99)
Transitional Plastic - Brown (+$50.00)
Transitional Plastic - Grey (+$50.00)
Hi Index 1.67 Lenses (+$80.00)
Transitional Polycarbonate - Brown (+$100.00)
Transitional Polycarbonate - Grey (+$100.00)
Use
Distance
Reading
Bifocal Options
Plastic Bifocal Lenses (Included)
Polycarbonate Bifocal Lenses (+$50.00)
Transitional Plastic Bifocal - Brown (+$75.00)
Transitional Plastic Bifocal - Grey (+$75.00)
Hi Index 1.6 Bifocal Lenses (+$100.00)
Progressive Options
Plastic Progressive Lenses (Included)
Polycarbonate Progressive Lenses (+$60.00)
Transitional Plastic Progressive - Brown (+$80.00)
Transitional Plastic Progressive - Grey (+$80.00)
Transitional Polycarbonate Progressive - Grey (+$150.00)
Hi Index 1.67 Progressive (+$150.00)
Hi Index 1.67 Transitional Progressive - Grey (+$200.00)
Eyeglass Lens Add-ons
uv400 Coating (+$5.99)
Dark Tinted Lenses - Brown (+$9.99)
Dark Tinted Lenses - Grey (+$9.99)
Antiglare Premium Single Vision Lenses (+$26.00)
Polarized Sunglass Lenses - Brown (+$80.00)
Polarized Sunglass Lenses - Grey (+$80.00)
Prescription Information:
To fax your prescription information in addition to filling it out below, check the box below and fax it to (516) 858-0487. Please make sure to fill out the information below as completely as possible.
Fax Prescription
Yes
P.D. (Pupillary Distance)
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
Sphere
Cylinder
Axis
Add
O.D. (Right Eye)
-12.00 (+$5.99)
-11.75 (+$5.99)
-11.50 (+$5.99)
-11.25 (+$5.99)
-11.00 (+$5.99)
-10.75 (+$5.99)
-10.50 (+$5.99)
-10.25 (+$5.99)
-10.00 (+$5.99)
-9.75 (+$5.99)
-9.50 (+$5.99)
-9.25 (+$5.99)
-9.00 (+$5.99)
-8.75 (+$5.99)
-8.50 (+$5.99)
-8.25 (+$5.99)
-8.00 (+$5.99)
-7.75 (+$5.99)
-7.50 (+$5.99)
-7.25 (+$5.99)
-7.00 (+$5.99)
-6.75 (+$5.99)
-6.50 (+$5.99)
-6.25 (+$5.99)
-6.00 (+$5.99)
-5.75 (+$5.99)
-5.50 (+$5.99)
-5.25 (+$5.99)
-5.00 (+$5.99)
-4.75
-4.50
-4.25
-4.00
-3.75
-3.50
-3.25
-3.00
-2.75
-2.50
-2.25
-2.00
-1.75
-1.50
-1.25
-1.00
-0.75
-0.50
-0.25
0
+0.25
+0.50
+0.75
+1.00
+1.25
+1.50
+1.75
+2.00
+2.25
+2.50
+2.75
+3.00
+3.25
+3.50
+3.75
+4.00 (+$5.99)
+4.25 (+$5.99)
+4.50 (+$5.99)
+4.75 (+$5.99)
+5.00 (+$5.99)
+5.25 (+$5.99)
+5.50 (+$5.99)
+5.75 (+$5.99)
+6.00 (+$5.99)
+6.25 (+$5.99)
+6.50 (+$5.99)
+6.75 (+$5.99)
+7.00 (+$5.99)
O.D. - Cylinder
-5.00 (+$5.99)
-4.75 (+$5.99)
-4.50 (+$5.99)
-4.25 (+$5.99)
-4.00 (+$5.99)
-3.75 (+$5.99)
-3.50 (+$5.99)
-3.25 (+$5.99)
-3.00 (+$5.99)
-2.75 (+$5.99)
-2.50 (+$5.99)
-2.25 (+$5.99)
-2.00
-1.75
-1.50
-1.25
-1.00
-0.75
-0.50
-0.25
0
+0.25
+0.50
+0.75
+1.00
+1.25
+1.50
+1.75
+2.00
+2.25 (+$5.99)
+2.50 (+$5.99)
+2.75 (+$5.99)
+3.00 (+$5.99)
+3.25 (+$5.99)
+3.50 (+$5.99)
+3.75 (+$5.99)
+4.00 (+$5.99)
+4.25 (+$5.99)
+4.50 (+$5.99)
+4.75 (+$5.99)
+5.00 (+$5.99)
O.D. - Axis
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
O.D. - Add
0
+0.25
+0.50
+0.75
+1.00
+1.25
+1.50
+1.75
+2.00
+2.25
+2.50
+2.75
+3.00
+3.25
+3.50
O.S. (Left Eye)
-12.00 (+$5.99)
-11.75 (+$5.99)
-11.50 (+$5.99)
-11.25 (+$5.99)
-11.00 (+$5.99)
-10.75 (+$5.99)
-10.50 (+$5.99)
-10.25 (+$5.99)
-10.00 (+$5.99)
-9.75 (+$5.99)
-9.50 (+$5.99)
-9.25 (+$5.99)
-9.00 (+$5.99)
-8.75 (+$5.99)
-8.50 (+$5.99)
-8.25 (+$5.99)
-8.00 (+$5.99)
-7.75 (+$5.99)
-7.50 (+$5.99)
-7.25 (+$5.99)
-7.00 (+$5.99)
-6.75 (+$5.99)
-6.50 (+$5.99)
-6.25 (+$5.99)
-6.00 (+$5.99)
-5.75 ($5.99)
-5.50 ($5.99)
-5.25 ($5.99)
-5.00 ($5.99)
-4.75
-4.50
-4.25
-4.00
-3.75
-3.50
-3.25
-3.00
-2.75
-2.50
-2.25
-2.00
-1.75
-1.50
-1.25
-1.00
-0.75
-0.50
-0.25
0
+0.25
+0.50
+0.75
+1.00
+1.25
+1.50
+1.75
+2.00
+2.25
+2.50
+2.75
+3.00
+3.25
+3.50
+3.75
+4.00 (+$5.99)
+4.25 (+$5.99)
+4.50 (+$5.99)
+4.75 (+$5.99)
+5.00 (+$5.99)
+5.25 (+$5.99)
+5.50 (+$5.99)
+5.75 (+$5.99)
+6.00 (+$5.99)
+6.25 (+$5.99)
+6.50 (+$5.99)
+6.75 (+$5.99)
+7.00 (+$5.99)
O.S. - Cylinder
-5.00 (+$5.99)
-4.75 (+$5.99)
-4.50 (+$5.99)
-4.25 (+$5.99)
-4.00 (+$5.99)
-3.75 (+$5.99)
-3.50 (+$5.99)
-3.25 (+$5.99)
-3.00 (+$5.99)
-2.75 (+$5.99)
-2.50 (+$5.99)
-2.25 (+$5.99)
-2.00
-1.75
-1.50
-1.25
-1.00
-0.75
-0.50
-0.25
0
+0.25
+0.50
+0.75
+1.00
+1.25
+1.50
+1.75
+2.00
+2.25 (+$5.99)
+2.50 (+$5.99)
+2.75 (+$5.99)
+3.00 (+$5.99)
+3.25 (+$5.99)
+3.50 (+$5.99)
+3.75 (+$5.99)
+4.00 (+$5.99)
+4.25 (+$5.99)
+4.50 (+$5.99)
+4.75 (+$5.99)
+5.00 (+$5.99)
O.S. - Axis
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
O.S. - Add
0
+0.25
+0.50
+0.75
+1.00
+1.25
+1.50
+1.75
+2.00
+2.25
+2.50
+2.75
+3.00
+3.25
+3.50
Doctor's Name
Doctor's Phone
Additional Information
maximum characters allowed
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