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VR512
Starting at: $19.99
Womans Metal Frame
Eye size
Bridge
Temple
Height
Please Choose:
Color
Coffee
Light Brown
Pink
Size
49-18-135
52-18-140
55-18-145
Lens Type
Frame Only (-$5.00)
Single Vision
Bifocal (+$20.00)
Progressive (+$40.00)
Single Vision Options
Plastic Lenses (Included)
CR-39 Plastic With Anti Glare Coating (+$9.99)
Polycarbonate Lenses (+$9.99)
Poly lenses With Anti Glare Coat (+$19.99)
Hi Index 1.60 Lenses (+$35.00)
Hi Index 1.60 Lenses With Anti Glare Coating (+$55.00)
Hi Index 1.67 Lenses (+$70.00)
Hi Index 1.67 Lenses With Anti Glare Coating (+$90.00)
Transitional Plastic - Grey (+$50.00)
Transitional Plastic - Brown (+$50.00)
Transitional Polycarbonate - Grey (+$75.00)
Transitional Polycarbonate - Grey With Anti Glare Coating (+$90.00)
Transitional Polycarbonate - Brown (+$75.00)
Transitional Polycarbonate - Brown With Anti Glare Coating (+$90.00)
Plastic Polarized Sunglass Lenses - Grey (+$75.00)
Plastic Polarized Sunglass Lenses - Brown (+$75.00)
Use
Distance
Reading
Bifocal Options
Plastic Bifocal Lenses (Included)
Plastic Bifocal Lenses With Anti Glare Coating (+$30.00)
Polycarbonate Bifocal Lenses (+$50.00)
Polycarbonate Bifocal Lenses with Anti Glare Coating (+$80.00)
Transitional Plastic Bifocal - Grey (+$60.00)
Transitional Plastic Bifocal - Grey with Anti Glare Coating (+$90.00)
Transitional Plastic Bifocal - Brown (+$60.00)
Transitional Plastic Bifocal - Brown with Anti Glare Coating (+$90.00)
Hi Index 1.6 Bifocal Lenses (+$100.00)
Hi Index 1.6 Bifocal Lenses with Anti Glare Coating (+$100.00)
Plastic Polarized Bifocal Sunglass Lenses - Grey (+$100.00)
Plastic Polarized Bifocal Sunglass Lenses - Brown (+$100.00)
Plastic Trifocal 7X28 (+$20.00)
Progressive Options
Plastic Progressive Lenses (Included)
Plastic Progressive Lenses With Anti Glare Coating (+$35.00)
Polycarbonate Progressive Lenses (+$60.00)
Polycarbonate Progressive Lenses With Anti Glare Coating (+$90.00)
Transitional Plastic Progressive - Grey (+$70.00)
Transitional Plastic Progressive - Grey with Anti Glare Coating (+$100.00)
Transitional Plastic Progressive - Brown (+$70.00)
Transitional Plastic Progressive - Brown with Anti Glare Coating (+$100.00)
Transitional Polycarbonate Progressive - Grey (+$150.00)
Hi Index 1.67 Progressive (+$150.00)
Hi Index 1.67 Progressive with Anti Glare Coating (+$180.00)
Hi Index 1.67 Transitional Progressive - Grey (+$200.00)
Plastic Polarized Progressive Sunglass Lenses - Brown (+$125.00)
Plastic Polarized Progressive Sunglass Lenses - Grey (+$125.00)
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 (+$12.99)
-11.75 (+$12.99)
-11.50 (+$12.99)
-11.25 (+$12.99)
-11.00 (+$12.99)
-10.75 (+$12.99)
-10.50 (+$12.99)
-10.25 (+$12.99)
-10.00 (+$12.99)
-9.75 (+$12.99)
-9.50 (+$12.99)
-9.25 (+$12.99)
-9.00 (+$12.99)
-8.75 (+$12.99)
-8.50 (+$12.99)
-8.25 (+$12.99)
-8.00 (+$12.99)
-7.75 (+$12.99)
-7.50 (+$12.99)
-7.25 (+$12.99)
-7.00 (+$12.99)
-6.75 (+$12.99)
-6.50 (+$12.99)
-6.25 (+$12.99)
-6.00 (+$12.99)
-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 (+$12.99)
+4.50 (+$12.99)
+4.75 (+$12.99)
+5.00 (+$12.99)
+5.25 (+$12.99)
+5.50 (+$12.99)
+5.75 (+$12.99)
+6.00 (+$12.99)
+6.25 (+$12.99)
+6.50 (+$12.99)
+6.75 (+$12.99)
+7.00 (+$12.99)
O.D. - Cylinder
-5.00 (+$12.99)
-4.75 (+$12.99)
-4.50 (+$12.99)
-4.25 (+$12.99)
-4.00 (+$12.99)
-3.75 (+$9.99)
-3.50 (+$9.99)
-3.25 (+$9.99)
-3.00 (+$9.99)
-2.75 (+$9.99)
-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 (+$9.99)
+3.00 (+$9.99)
+3.25 (+$9.99)
+3.50 (+$9.99)
+3.75 (+$9.99)
+4.00 (+$12.99)
+4.25 (+$12.99)
+4.50 (+$12.99)
+4.75 (+$12.99)
+5.00 (+$12.99)
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 ($9.99)
+3.50 ($9.99)
O.S. (Left Eye)
-12.00 (+$12.99)
-11.75 (+$12.99)
-11.50 (+$12.99)
-11.25 (+$12.99)
-11.00 (+$12.99)
-10.75 (+$12.99)
-10.50 (+$12.99)
-10.25 (+$12.99)
-10.00 (+$12.99)
-9.75 (+$12.99)
-9.50 (+$12.99)
-9.25 (+$12.99)
-9.00 (+$12.99)
-8.75 (+$12.99)
-8.50 (+$12.99)
-8.25 (+$12.99)
-8.00 (+$12.99)
-7.75 (+$12.99)
-7.50 (+$12.99)
-7.25 (+$12.99)
-7.00 (+$12.99)
-6.75 (+$12.99)
-6.50 (+$12.99)
-6.25 (+$12.99)
-6.00 (+$12.99)
-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 (+$12.99)
+4.50 (+$12.99)
+4.75 (+$12.99)
+5.00 (+$12.99)
+5.25 (+$12.99)
+5.50 (+$12.99)
+5.75 (+$12.99)
+6.00 (+$12.99)
+6.25 (+$12.99)
+6.50 (+$12.99)
+6.75 (+$12.99)
+7.00 (+$12.99)
O.S. - Cylinder
-5.00 (+$12.99)
-4.75 (+$12.99)
-4.50 (+$12.99)
-4.25 (+$12.99)
-4.00 (+$12.99)
-3.75 (+$9.99)
-3.50 (+$9.99)
-3.25 (+$9.99)
-3.00 (+$9.99)
-2.75 (+$9.99)
-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 (+$9.99)
+3.00 (+$9.99)
+3.25 (+$9.99)
+3.50 (+$9.99)
+3.75 (+$9.99)
+4.00 (+$12.99)
+4.25 (+$12.99)
+4.50 (+$12.99)
+4.75 (+$12.99)
+5.00 (+$12.99)
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 (+$9.99)
+3.50 (+$9.99)
Doctor's Name
Doctor's Phone
Additional Information
maximum characters allowed
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