Order Contact Lenses We’ll do our best to get back to you within the day to place your order. (If you need immediate action, please call us at 212-366-1010) Please complete the form belowName*Email Address* Phone*Alternate PhoneAre you an existing patient?*YesNoRx Prescription(if you are a new patient or have your own Rx easily accessible, please attach it, otherwise we will look it up in our patient database)Quantity*1 month supply3 month supply6 month supply1 year supplyotherDelivery PreferenceDirect Shipment (to you)Pick-up at 10/10 OpticsShipment MethodIf you chose "direct shipping" , please specify shipping method.GroundOvernightAdditional Notes or CommentsPlease write the desired brand and quantity of boxes for each eye. If you are picking up in the store, you can pay on pickup, and if we are shipping to you, our contact lens department will contact you for payment. Please do not put your credit card number in the notes.CAPTCHANameThis field is for validation purposes and should be left unchanged.