Create Prescription

$0.00

10000 in stock (can be backordered)

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    • (max file size 64 MB)

    SPH Right (OD)

    CYL Right (OD)

    Axis Right (OD)

    Additional Right (OD)

    SPH Left (OS)

    CYL Left (OS)

    Axis Left (OS)

    Additional Left (OS)

    PD Number/s

    Pupillary Distance

    Pupillary Distance R

    Pupillary Distance L

    Height

    • 19 $

    Vertical Prism R

    Vertical Base R

    Vertical Prism L

    Vertical Base L

    Horizontal Prism R

    Horizontal Base R

    Horizontal Prism L

    Horizontal Base L

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Additional information

Weight .5 lbs

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