Family Eye Care Cooper Order Page

COOPER VISION BRAND CONTACTS

ORDER ONLINE

FREE SHIPPING WITH PURCHASE

Rebates may be available with purchase of 12-month supply of Frequency 55 Multifocal Spericals or Aspherics.

All orders must have a current contact lens prescription from Family Eye Care to process your order. If there is no credit card on file with our office, please call (863) 675-0761 to order your contact lenses.

CONTACT LENS INFORMATION

Brand

Right Eye

Left Eye

Quantity

6-month Supply

12-month Supply

For orders less than a 6-month supply please contact our office at (863) 675-0761.

CONTACT LENS SUPPLIES

Brand	6-month		12-month
Frequency 55	2 Bxs	$54	4 Bxs	$100
Frequency 55 Aspheric	2 Bxs	$70	4 Bxs	$120
Frequency 55 Toric	2 Bxs	$156	4 Bxs	$292
Frequency 55ToricXR	2 Bxs	$216	4 Bxs	$412
Frequency 55 Multifocal	2 Bxs	$160	4 Bxs	$312
Vertex Toric	4 Bxs	$92	8 Bxs	$168

PATIENT INFORMATION

First Name

Last Name

Phone

SHIPPING INFORMATION

Name

Address 1

Address 2

City

State

Zip

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