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Order for a Patient

Order Hubble lenses for your patient with our easy-to-use portal. Simply choose the product, powers, and amount and we will take care of the rest. Orders will be delivered in 3-5 business days and we will bill you monthly for the total cost of all your patient orders.

1. Select product
2. Enter Prescription

Right Eye Power

Select...

Left Eye Power

Select...
3. Select Amount
4. Enter Your Contact Info

Office Name

Office's Email Address

Patient Name

Patient's Email Address

5. Enter Shipping Address

Ship to Office

Ship to Patient

Address Line 1

Address Line 2

Country

State

City

ZIP Code