HOME
CONTACT US
ABOUT THE DOCTORS
HOURS
Location & Hours
•
Order Contact Lenses
•
Track Status of Glasses
•
How Can We Help You?
•
Link to Our Facebook
•
India Vision Mission
Order Contact Lenses
Fill out the information below to submit your contact lens order. Ziegler and Leffingwell Eyecare will contact you to confirm your order and obtain payment. If you have any questions, please call 414.541.2100. (
*
required)
First Name:
*
Last Name:
*
E-mail:
*
Type/Brand/Power of Contact Lens
Order the contact lens parameters of the samples that were given to me at my last visit.
Order more contact lenses in the same power of my last order.
Other. Please explain in comments field.
Comments:
