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ADMINISTRATOR

$115.00

Color

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1Select Your Lens

2Prescription Type

3Additional Options

Lens Type(Required)

Lens Power(Required)

How are we getting your prescription?(Required)

Fill out form

Upload

Call my doctor

Fax or email

Fill Out Prescription

Prescription State

State where your prescription will be shipped to

Left Eye

Sphere

Cylinder

Axis

Right Eye

Sphere

Cylinder

Axis

Pupillary Distance (PD)

I have 2 numbers for my PD

A PD is required for all prescription lenses; if you do not enter a PD now, we will contact you for it later.

Upload Prescription

Prescription File Upload(Required)

Accepted file types: jpg, png, tiff, pdf, doc, docx, Max. file size: 3 MB.

Please attach a copy of your prescription in either an image(JPG, PNG, TIFF) or document (PDF, DOC, DOCX) format.

Call My Doctor

Doctor Name(Required)

Practice Name(Required)

Phone Number(Required)

Date of Birth(Required)

Fax or Email

To send an email, please send a copy of your prescription to info@americansunandreader.com. To send a fax, please make sure your name is included on the prescription or cover letter, and send it to XXX-XXX-XXXX. Please include your PD (pupillary distance) in your fax or email. This is a measurement that is used to make eyeglasses, but is not always included in your prescription. You can obtain it by contacting your eye doctor or the last place that made glasses for you.

Additional Comments