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Place an Order for Contact Lenses:
Account Number:*
 Account Name:
Your Name:*
 Your E-mail:
Patient's Name:*
 Your Phone Number:
Lens Brand orType:
OD  -  Qty:
 BC:
 Power:
 Diam:
 Add:
 Color:
OS  -  Qty:
 BC:
 Power:
 Diam:
 Add:
 Color:
OD    K Readings:
 OD  Rx:
 OD Rx Add:
OS    K Readings:
 OS  Rx:
 OS Rx Add:
Additional Information For GP Contact Lenses:
GP Lens
Design:
 GP Lens   
Material:
 OD Tint:
OS Tint:
Warranty:
 Exchange:
 Dot OD:
 No Dot:
 Dot OS:
 GP Lens Adds:
Non-Warr:
 Duplicate:
 Previous Order #:
 Add Seg / Zone:
PlasmaEYEZ GP
Lens Treatment:
 OD Lens CT:
 OD Lenticular:
 OD Lent Bowl:
OS Lens CT:
 OS Lenticular:
 OS Lent Bowl:
Request Consult Call:
Additional Parameters
and/or Instructions:
Orders will be shipped by
your default method unless
specified otherwise.
IMPORTANT:  Note that our address has changed for returns and correspondence!
After submitting an order, use your web browser's <BACK button at the top left of the
order confirmation page to return to this Ideal Optics website to place more orders.
Ideal Optics - Contact Lens Orders
We Fit Your Practice™
We can only process orders for eye care practitioners that have active accounts with Ideal Optics.  
For information on setting up an account please call 800.554.7353.            * Required Fields
Ideal Optics
2775 Premiere Pkwy, STE 600
Duluth, GA   30097-4933
PH: 800.554.7353       
FX:  770.434.8291
Welcome to 2012!
Let's all have a Happy, Healthy and Prosperous New Year!
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We Have Colored Soft Lenses!
We now make colored soft lenses in Visi, Enhancement and Dark tints with
clear, solid color or black occluded pupils in torics and spheres.
Call us and see Westcon Colored Lenses!
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