Order Contact Lenses If you have a valid contact lens prescription and would like to order with us, please fill out the form below. Name * First Name Last Name Email * Phone (###) ### #### How much of a supply are you looking to order? * Daily Lenses: 3, 6 or 12 month supply Monthlies: 6 or 12 month supply Enjoy Free Shipping on All Orders with Northeast Optometry! ***We will provide the cost before charging the card on file.*** ***The order placed will be for both eyes, if not please specify.*** 3 Month / 90 Day Supply 6 Month / 180 Day Supply 1 Year / 360 Day Supply Ship to a Different Address? If you would like to have your order shipped to an address that's not on file, please specify here. To expedite the process: By checking this box, you give NEO permission to charge the card on file and place the order upon submission of this form. Charge my card plase! Thank you for your order!Please allow 1-2 business days for us to process your order. If you chose to receive a confirmation cost first, please be on the lookout for an email or call from Northeast Optometry.
