NovaKone Toric (4 Pack)

$669.00

Prescription Information:

RIGHT:

*OD Power/SPH

*OD BC

*OD DIA

*CYL

*Axis

*OD Boxes

LEFT:

*OS Power/SPH

*OS BC

*OS DIA

*CYL

*Axis

*OS Boxes

*Patient's Name

*Prescription Date

If your prescription is not provided by Dr. Bishop & Associates, please enter the following:

Doctor's Name/Office

Doctor's Phone: Format: 403-123-4321

By providing us with this information, you are allowing us to communicate with the above Doctor/Office to verify the contact lens information.

* Required Fields

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