www.visionworks.com Open in urlscan Pro
2.16.186.187  Public Scan

Submitted URL: https://click.e.vsp.com/?qs=c2a7f075409252d4b5fff6f811acf1b6fa062a01888d3585f01f2268fd6d57bc0ee67c17905ee81158269f2db121...
Effective URL: https://www.visionworks.com/storefront-navigation/contact-lenses/all-contactLenses?utm_confid=vlu3qjj18&kx_campaign=VW_Febru...
Submission: On February 15 via api from US — Scanned from DE

Form analysis 8 forms found in the DOM

POST //www.visionworks.com/search?_DARGS=/storefront/cartridges/searchBox/searchBox.jsp

<form role="form" class="navbar-form navbar-right form-search ui-front" method="post"
  data-bind="submit: function(data, event) { $data['elements']['customSearch'].handleSearch.bind($data['elements']['customSearch'], $data['elements']['customSearch'], event)() }, event: { keydown : $data['elements']['customSearch'].handleKeyPress }"
  action="//www.visionworks.com/search?_DARGS=/storefront/cartridges/searchBox/searchBox.jsp">
  <!-- ko with: $data['elements']['customSearch'] -->
  <label class="label-hidden" data-bind="widgetLocaleText :'searchLabel'">Search</label>
  <div class="input-group search">
    <div class="searchInput" id="searchContainer" aria-label="Search">
      <input id="CC-headerWidget-Search" type="text" class="form-control search-query" autocomplete="off" aria-labelledby="searchContainer"
        data-bind="widgetLocaleText: {attr: 'placeholder', value: 'searchLabel'}, value: searchText, valueUpdate: 'afterkeydown', onRender:initializeSearch.bind($parent), event: { focus: searchSelected, blur: searchDeselected}" placeholder="Search">
      <span class="input-group-btn">
        <button type="submit" id="searchSubmit" class="btn btn-default btn-search form-control" data-bind="event: { keydown : hideSearchDropdown}">
          <i class="fa fa-search fa-lg hidden-sm hidden-xs" aria-hidden="true"></i>
          <span class="visible-sm visible-xs">GO</span>
          <span class="sr-only" data-bind="widgetLocaleText :'searchLabel'">Search</span>
        </button>
      </span>
    </div>
  </div>
  <!-- /ko -->
</form>

Name: toggleInsuranceFormPOST /cartridges/headerInsurance/headerInsurance.jsp?_DARGS=/storefront/cartridges/headerInsurance/headerInsurance.jsp.toggleInsuranceForm

<form id="toggleInsuranceForm" name="toggleInsuranceForm" action="/cartridges/headerInsurance/headerInsurance.jsp?_DARGS=/storefront/cartridges/headerInsurance/headerInsurance.jsp.toggleInsuranceForm" method="post">
</form>

POST //www.visionworks.com/search?_DARGS=/storefront/cartridges/searchBox/searchBox.jsp

<form role="form" class="navbar-form navbar-right form-search ui-front" method="post"
  data-bind="submit: function(data, event) { $data['elements']['customSearch'].handleSearch.bind($data['elements']['customSearch'], $data['elements']['customSearch'], event)() }, event: { keydown : $data['elements']['customSearch'].handleKeyPress }"
  action="//www.visionworks.com/search?_DARGS=/storefront/cartridges/searchBox/searchBox.jsp">
  <!-- ko with: $data['elements']['customSearch'] -->
  <label class="label-hidden" data-bind="widgetLocaleText :'searchLabel'">Search</label>
  <div class="input-group search">
    <div class="searchInput" id="searchContainer" aria-label="Search">
      <input id="CC-headerWidget-Search" type="text" class="form-control search-query" autocomplete="off" aria-labelledby="searchContainer"
        data-bind="widgetLocaleText: {attr: 'placeholder', value: 'searchLabel'}, value: searchText, valueUpdate: 'afterkeydown', onRender:initializeSearch.bind($parent), event: { focus: searchSelected, blur: searchDeselected}" placeholder="Search">
      <span class="input-group-btn">
        <button type="submit" id="searchSubmit" class="btn btn-default btn-search form-control" data-bind="event: { keydown : hideSearchDropdown}">
          <i class="fa fa-search fa-lg hidden-sm hidden-xs" aria-hidden="true"></i>
          <span class="visible-sm visible-xs">GO</span>
          <span class="sr-only" data-bind="widgetLocaleText :'searchLabel'">Search</span>
        </button>
      </span>
    </div>
  </div>
  <!-- /ko -->
</form>

Name: formLookUpMemberPOST #

<form id="formLookUpMember" name="formLookUpMember" action="#" method="post" novalidate="novalidate" class="memberLookupForm">
  <p class="help-block"> All fields required.</p>
  <div class="alert alert-danger hidden memberlookupCommonError" role="alert"> Please correct the errors indicated below.</div>
  <div class="alert alert-danger backend-error hidden" role="alert"> We are sorry, insurance shopping is not currently available.</div>
  <div class="alert alert-danger backend-error communication-error hidden" role="alert"> We are sorry, insurance shopping is not currently available.</div>
  <div class="row">
    <div class="form-group col-sm-6 col-xs-12">
      <label id="inputMemberId00" aria-label="Member ID">Member ID</label> <!-- removed for="inputMemberId" -->
      <input aira-labelledby="inputMemberId00" id="inputMemberId" placeholder="Member ID" name="memberId" value="" class="form-control" type="text" autocomplete="off" aria-label="Member ID"
        data-bind="validatableValue:memberId, validationElement: memberId" aria-describedby="member-id-error" required="required">
      <div class="member-error" id="member-id-error" data-bind="validationMessage: memberId" role="alert" style="display: none;"></div>
    </div>
  </div>
  <filedset>
    <legend>Name</legend>
    <div class="row">
      <div class="form-group col-sm-6 col-xs-12 ">
        <input placeholder="First Name" name="memberFirstName" value="" class="form-control" type="text" autocomplete="off" aria-label="First Name" data-bind="validatableValue:memberFirstName, validationElement: memberFirstName"
          aria-describedby="member-firstname-error" required="required">
        <div class="member-error" id="member-firstname-error" data-bind="validationMessage: memberFirstName" role="alert" style="display: none;"></div>
      </div>
      <div class="form-group col-sm-6 col-xs-12 ">
        <input placeholder="Last Name" name="memberLastName" value="" class="form-control" type="text" autocomplete="off" aria-label="Last Name" data-bind="validatableValue:memberLastName, validationElement: memberLastName"
          aria-describedby="member-lastname-error" required="required">
        <div class="member-error" id="member-lastname-error" data-bind="validationMessage: memberLastName" role="alert" style="display: none;"></div>
      </div>
    </div>
  </filedset>
  <div class="row">
    <div class="col-md-6 col-sm-8 col-xs-12">
      <fieldset class="form-group form-group-date form-group-">
        <legend class="control-label">Date of Birth</legend>
        <div class="row">
          <div class="col-xs-4">
            <span class="ui-select ui-select-a">
              <select name="memberMonth" class="form-control" autocomplete="off" type="text" aria-label="Month for Date of Birth" data-bind="validatableValue:memberDOBStartMM, validationElement: memberDOBStartMM" aria-describedby="member-date-error"
                required="required">
                <option selected="" value="">MM</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
              </select>
            </span>
          </div>
          <div class="col-xs-4">
            <span class="ui-select ui-select-a">
              <select name="memberDay" class="form-control" autocomplete="off" type="text" aria-label="Day for Date of Birth" data-bind="validatableValue:memberDOBStartDate, validationElement: memberDOBStartDate" aria-describedby="member-date-error"
                required="required">
                <option selected="" value="">DD</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
              </select>
            </span>
          </div>
          <div class="col-xs-4 col-year">
            <span class="ui-select ui-select-a">
              <select name="memberYear" class="form-control" autocomplete="off" type="text" aria-label="Year for Date of Birth"
                data-bind="validatableValue:memberDOBStartYear, validationElement: memberDOBStartYear,options: $parent.memberDOBStartYearList,value: $data.memberDOBStartYear,optionsCaption: 'YYYY', valueAllowUnset: true"
                aria-describedby="member-date-error" required="required">
                <option value="">YYYY</option>
                <option value="2022">2022</option>
                <option value="2021">2021</option>
                <option value="2020">2020</option>
                <option value="2019">2019</option>
                <option value="2018">2018</option>
                <option value="2017">2017</option>
                <option value="2016">2016</option>
                <option value="2015">2015</option>
                <option value="2014">2014</option>
                <option value="2013">2013</option>
                <option value="2012">2012</option>
                <option value="2011">2011</option>
                <option value="2010">2010</option>
                <option value="2009">2009</option>
                <option value="2008">2008</option>
                <option value="2007">2007</option>
                <option value="2006">2006</option>
                <option value="2005">2005</option>
                <option value="2004">2004</option>
                <option value="2003">2003</option>
                <option value="2002">2002</option>
                <option value="2001">2001</option>
                <option value="2000">2000</option>
                <option value="1999">1999</option>
                <option value="1998">1998</option>
                <option value="1997">1997</option>
                <option value="1996">1996</option>
                <option value="1995">1995</option>
                <option value="1994">1994</option>
                <option value="1993">1993</option>
                <option value="1992">1992</option>
                <option value="1991">1991</option>
                <option value="1990">1990</option>
                <option value="1989">1989</option>
                <option value="1988">1988</option>
                <option value="1987">1987</option>
                <option value="1986">1986</option>
                <option value="1985">1985</option>
                <option value="1984">1984</option>
                <option value="1983">1983</option>
                <option value="1982">1982</option>
                <option value="1981">1981</option>
                <option value="1980">1980</option>
                <option value="1979">1979</option>
                <option value="1978">1978</option>
                <option value="1977">1977</option>
                <option value="1976">1976</option>
                <option value="1975">1975</option>
                <option value="1974">1974</option>
                <option value="1973">1973</option>
                <option value="1972">1972</option>
                <option value="1971">1971</option>
                <option value="1970">1970</option>
                <option value="1969">1969</option>
                <option value="1968">1968</option>
                <option value="1967">1967</option>
                <option value="1966">1966</option>
                <option value="1965">1965</option>
                <option value="1964">1964</option>
                <option value="1963">1963</option>
                <option value="1962">1962</option>
                <option value="1961">1961</option>
                <option value="1960">1960</option>
                <option value="1959">1959</option>
                <option value="1958">1958</option>
                <option value="1957">1957</option>
                <option value="1956">1956</option>
                <option value="1955">1955</option>
                <option value="1954">1954</option>
                <option value="1953">1953</option>
                <option value="1952">1952</option>
                <option value="1951">1951</option>
                <option value="1950">1950</option>
                <option value="1949">1949</option>
                <option value="1948">1948</option>
                <option value="1947">1947</option>
                <option value="1946">1946</option>
                <option value="1945">1945</option>
                <option value="1944">1944</option>
                <option value="1943">1943</option>
                <option value="1942">1942</option>
                <option value="1941">1941</option>
                <option value="1940">1940</option>
                <option value="1939">1939</option>
                <option value="1938">1938</option>
                <option value="1937">1937</option>
                <option value="1936">1936</option>
                <option value="1935">1935</option>
                <option value="1934">1934</option>
                <option value="1933">1933</option>
                <option value="1932">1932</option>
                <option value="1931">1931</option>
                <option value="1930">1930</option>
                <option value="1929">1929</option>
                <option value="1928">1928</option>
                <option value="1927">1927</option>
                <option value="1926">1926</option>
                <option value="1925">1925</option>
                <option value="1924">1924</option>
                <option value="1923">1923</option>
                <option value="1922">1922</option>
              </select>
            </span>
          </div>
        </div>
      </fieldset>
      <div class="row">
        <div class="col-xs-12">
          <div class="member-error" id="member-date-error" data-bind="validationMessage: memberDOBStartMM" role="alert" style="display: none;"></div>
        </div>
      </div>
    </div>
  </div>
  <p class="small text-book lookup-text">Looking up a member will turn on insurance pricing. Items listed under a different name will be removed from your cart.</p>
  <div class="show-grid clearfix"></div>
  <input id="btnLookup" type="button" class="btn btn-primary btn-lg" value="SUBMIT" data-bind="click: function(data, event){$parent.memberDetailsHandler(data, event)}">
  <div class="text-center visible-xs">
    <div class="show-grid clearfix"></div>
    <span class="pgh-help contactInfo"> Questions? We are here to help.&nbsp; <span class="text-nowrap">
        <a href="tel:18007847427" style="display: inline;" class="phoneNumber has-underline" aria-label="Contact us by phone number 18007847427">1-800-784-7427</a>
        <span class="text-or">&nbsp; or&nbsp; </span>
        <a title="Click to generate chat with customer service." href="https://visionworks.amelia.com/Amelia/splash">Live Chat</a>
      </span>
    </span>
  </div>
</form>

Name: formLookUpMemberPOST #

<form id="formLookUpMember" name="formLookUpMember" action="#" method="post" novalidate="novalidate" class="memberLookupForm">
  <p class="help-block"> All fields required.</p>
  <div class="alert alert-danger hidden memberlookupCommonError" role="alert"> Please correct the errors indicated below.</div>
  <div class="alert alert-danger backend-error hidden" role="alert"> We are sorry, insurance shopping is not currently available.</div>
  <div class="alert alert-danger backend-error communication-error hidden" role="alert"> We are sorry, insurance shopping is not currently available.</div>
  <div class="row">
    <div class="form-group col-sm-6 col-xs-12">
      <label id="inputMemberId01" aria-label="Member ID">Member ID</label>
      <input id="inputMemberId" aria-labelledby="inputMemberId01" placeholder="Member ID" name="memberId" value="" class="form-control" type="text" autocomplete="off" data-bind="validatableValue:memberId, validationElement: memberId"
        aria-describedby="member-id-error" required="required">
      <div class="member-error" id="member-id-error" data-bind="validationMessage: memberId" role="alert" style="display: none;"></div>
    </div>
  </div>
  <filedset>
    <legend>Name</legend>
    <div class="row">
      <div class="form-group col-sm-6 col-xs-12">
        <input placeholder="First Name" name="memberFirstName" value="" class="form-control" type="text" autocomplete="off" aria-label="First Name" data-bind="validatableValue:memberFirstName, validationElement: memberFirstName"
          aria-describedby="member-firstname-error" required="required">
        <div class="member-error" id="member-firstname-error" data-bind="validationMessage: memberFirstName" role="alert" style="display: none;"></div>
      </div>
      <div class="form-group col-sm-6 col-xs-12">
        <input placeholder="Last Name" name="memberLastName" value="" class="form-control" type="text" autocomplete="off" aria-label="Last Name" data-bind="validatableValue:memberLastName, validationElement: memberLastName"
          aria-describedby="member-lastname-error" required="required">
        <div class="member-error" id="member-lastname-error" data-bind="validationMessage: memberLastName" role="alert" style="display: none;"></div>
      </div>
    </div>
  </filedset>
  <div class="row">
    <div class="col-md-6 col-sm-8 col-xs-12">
      <fieldset class="form-group form-group-date form-group-">
        <legend class="control-label">Date of Birth</legend>
        <div class="row">
          <div class="col-xs-4">
            <span class="ui-select ui-select-a">
              <select name="memberMonth" class="form-control" autocomplete="off" type="text" aria-label="Month for Date of Birth" data-bind="validatableValue:memberDOBStartMM, validationElement: memberDOBStartMM" aria-describedby="member-date-error"
                required="required">
                <option selected="" value="">MM</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
              </select>
            </span>
          </div>
          <div class="col-xs-4">
            <span class="ui-select ui-select-a">
              <select name="memberDay" class="form-control" autocomplete="off" type="text" aria-label="Day for Date of Birth" data-bind="validatableValue:memberDOBStartDate, validationElement: memberDOBStartDate" aria-describedby="member-date-error"
                required="required">
                <option selected="" value="">DD</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
              </select>
            </span>
          </div>
          <div class="col-xs-4 col-year">
            <span class="ui-select ui-select-a">
              <select name="memberYear" class="form-control" autocomplete="off" type="text" aria-label="Year for Date of Birth"
                data-bind="validatableValue:memberDOBStartYear, validationElement: memberDOBStartYear,options: $parent.memberDOBStartYearList,value: $data.memberDOBStartYear,optionsCaption: 'YYYY', valueAllowUnset: true"
                aria-describedby="member-date-error" required="required">
                <option value="">YYYY</option>
                <option value="2022">2022</option>
                <option value="2021">2021</option>
                <option value="2020">2020</option>
                <option value="2019">2019</option>
                <option value="2018">2018</option>
                <option value="2017">2017</option>
                <option value="2016">2016</option>
                <option value="2015">2015</option>
                <option value="2014">2014</option>
                <option value="2013">2013</option>
                <option value="2012">2012</option>
                <option value="2011">2011</option>
                <option value="2010">2010</option>
                <option value="2009">2009</option>
                <option value="2008">2008</option>
                <option value="2007">2007</option>
                <option value="2006">2006</option>
                <option value="2005">2005</option>
                <option value="2004">2004</option>
                <option value="2003">2003</option>
                <option value="2002">2002</option>
                <option value="2001">2001</option>
                <option value="2000">2000</option>
                <option value="1999">1999</option>
                <option value="1998">1998</option>
                <option value="1997">1997</option>
                <option value="1996">1996</option>
                <option value="1995">1995</option>
                <option value="1994">1994</option>
                <option value="1993">1993</option>
                <option value="1992">1992</option>
                <option value="1991">1991</option>
                <option value="1990">1990</option>
                <option value="1989">1989</option>
                <option value="1988">1988</option>
                <option value="1987">1987</option>
                <option value="1986">1986</option>
                <option value="1985">1985</option>
                <option value="1984">1984</option>
                <option value="1983">1983</option>
                <option value="1982">1982</option>
                <option value="1981">1981</option>
                <option value="1980">1980</option>
                <option value="1979">1979</option>
                <option value="1978">1978</option>
                <option value="1977">1977</option>
                <option value="1976">1976</option>
                <option value="1975">1975</option>
                <option value="1974">1974</option>
                <option value="1973">1973</option>
                <option value="1972">1972</option>
                <option value="1971">1971</option>
                <option value="1970">1970</option>
                <option value="1969">1969</option>
                <option value="1968">1968</option>
                <option value="1967">1967</option>
                <option value="1966">1966</option>
                <option value="1965">1965</option>
                <option value="1964">1964</option>
                <option value="1963">1963</option>
                <option value="1962">1962</option>
                <option value="1961">1961</option>
                <option value="1960">1960</option>
                <option value="1959">1959</option>
                <option value="1958">1958</option>
                <option value="1957">1957</option>
                <option value="1956">1956</option>
                <option value="1955">1955</option>
                <option value="1954">1954</option>
                <option value="1953">1953</option>
                <option value="1952">1952</option>
                <option value="1951">1951</option>
                <option value="1950">1950</option>
                <option value="1949">1949</option>
                <option value="1948">1948</option>
                <option value="1947">1947</option>
                <option value="1946">1946</option>
                <option value="1945">1945</option>
                <option value="1944">1944</option>
                <option value="1943">1943</option>
                <option value="1942">1942</option>
                <option value="1941">1941</option>
                <option value="1940">1940</option>
                <option value="1939">1939</option>
                <option value="1938">1938</option>
                <option value="1937">1937</option>
                <option value="1936">1936</option>
                <option value="1935">1935</option>
                <option value="1934">1934</option>
                <option value="1933">1933</option>
                <option value="1932">1932</option>
                <option value="1931">1931</option>
                <option value="1930">1930</option>
                <option value="1929">1929</option>
                <option value="1928">1928</option>
                <option value="1927">1927</option>
                <option value="1926">1926</option>
                <option value="1925">1925</option>
                <option value="1924">1924</option>
                <option value="1923">1923</option>
                <option value="1922">1922</option>
              </select>
            </span>
          </div>
        </div>
      </fieldset>
      <div class="row">
        <div class="col-xs-12">
          <div class="member-error" id="member-date-error" data-bind="validationMessage: memberDOBStartMM" role="alert" style="display: none;"></div>
        </div>
      </div>
    </div>
  </div>
  <p class="small text-book lookup-text">Looking up a member will turn on insurance pricing. Items listed under a different name will be removed from your cart.</p>
  <div class="show-grid clearfix"></div>
  <input id="btnLookup" type="button" class="btn btn-primary btn-lg" value="SUBMIT" data-bind="click: function(data, event){$parent.memberDetailsHandler(data, event)}">
  <div class="text-center visible-xs">
    <div class="show-grid clearfix"></div>
    <span class="pgh-help contactInfo"> Questions? We are here to help.&nbsp; <span class="text-nowrap">
        <a href="tel:18007847427" style="display: inline;" class="phoneNumber has-underline" aria-label="Contact us by phone number 18007847427">1-800-784-7427</a><span class="text-or">&nbsp; or&nbsp;
        </span><a title="Click to generate chat with customer service." href="https://visionworks.amelia.com/Amelia/splash">Live Chat</a>
      </span>
    </span>
  </div>
</form>

<form id="updatePupilForm" novalidate="novalidate">
  <div class="modal-header">
    <a href="javascript:void(0);" role="button" class="btn-close" data-dismiss="modal" aria-label="Close">
											<i class="icon-close" aria-hidden="true"></i>
										</a>
    <a href="javascript:void(0);" data-bind="click: function() { goBackUploadWebCamForm();}" class="pull-left btn-back" role="button">
											<i class="fa fa-angle-left"></i>Back
										</a>
  </div>
  <div class="modal-body">
    <p class="h5 text-center"> To adjust your photo, move the crosshairs until they are centered directly over your pupils. </p>
    <div class="show-grid clearfix"></div>
    <div class="container-adjust">
      <div class="container-responsive center-block">
        <img class="view-photo" width="420" height="420" src="" alt="The uploaded try-on image">
        <div class="container-content">
          <button class="btn l_pupil pupil ui-draggable ui-draggable-handle" type="button">
            <span class="sr-only">Left Hair cross</span>
          </button>
          <button class="btn r_pupil pupil ui-draggable ui-draggable-handle" type="button">
            <span class="sr-only">Right Hair cross</span>
          </button>
        </div>
      </div>
      <button type="button" data-bind="click: function() {return rotateImg('web'); }" class="btn btn-rotate">
        <i class="icon icon-rotate" aria-hidden="true"></i> Rotate </button>
    </div>
    <div class="show-grid clearfix"></div>
    <div class="show-grid clearfix"></div>
    <div class="row">
      <div class="col-xs-12 col-xs-offset-0 col-sm-10 col-sm-offset-1 form-group text-center">
        <label class="checkbox-inline checkbox-sm">
          <input name="upLoadPhotoConfirmTerms" data-bind="checked: confirmUploadCheck" class="required" type="checkbox">
          <i class="fa ui-appearance" aria-hidden="true"></i> By confirming the updating of photo you agree to the <a class="has-underline" href="/terms-of-use-agreement" target="_blank" title="Opens in a new window">Terms of Use</a> and
          <a class="has-underline" href="/privacy-policy" target="_blank" title="Opens in a new window">Privacy Policy</a> of this website. </label>
        <div role="tooltip" class="tooltip tooltip-danger bottom" data-bind="visible: showErrorTC" style="display: none;">
          <div class="tooltip-arrow"></div>
          <div class="tooltip-inner">
            <span id="upLoadPhotoConfirmTerms-error" class="error" data-bind="text: uploadTermErrorMsg">Please accept the Terms of Use and Privacy Policy.</span>
          </div>
        </div>
      </div>
    </div>
    <div class="modal-footer">
      <button type="submit" data-bind="click: function() { return confirmUpload(); }" class="btn btn-primary btn-lg center-block text-heavy">UPLOAD</button>
    </div>
  </div>
</form>

POST

<form id="uploadForm" enctype="multipart/form-data" target="ajaxupload" method="post" novalidate="novalidate">
  <div class="modal-header">
    <a href="javascript:void(0);" role="button" class="btn-close" data-dismiss="modal" aria-label="Close">
                        <i class="icon-close" aria-hidden="true"></i>
                      </a>
    <a href="javascript:void(0);" data-bind="click: function() {goBackModal();}" class="pull-left btn-back" role="button">
                        <i class="fa fa-angle-left"></i>Back
                      </a>
  </div>
  <div class="modal-body">
    <p class="h5 text-center clearfix"> Next, your pupillary distance (PD) makes this tool more accurate.<span class="sr-only"> PD (Pupillary Distance) is the distance measured in millimeters between the center of one pupil and the center of the
        other.</span>
    </p>
    <p class="small text-center"> Aren't sure about the PD? &nbsp; <i class="icon icon-rule" aria-hidden="true"></i>
      <a href="/pd" target="_blank" title="Opens in a new window" class="has-underline">Measure it now</a>
    </p>
    <div class="clearfix show-grid"></div>
    <fieldset class="form-group-pd">
      <legend class="sr-only">Switch to enter single PD or dual PD</legend>
      <div class="container-control">
        <div class="checkbox checkbox-sm">
          <label>
            <input type="checkbox" name="isDualPD" data-bind="checked: pdCheckBox" autocomplete="off">
            <i class="fa ui-appearance" aria-hidden="true"></i>
            <span>I have 2 numbers for my PD.</span>
          </label>
        </div>
        <div class="form-group form-control-pd">
          <span class="ui-select ui-select-a" id="pdSection04" aria-label="Select PD value">
            <select data-msg-required="Select your PD" data-bind="validatableValue:singlePD, validationElement: singlePD,value:singlePD, valueAllowUnset: true" aria-labelledby="pdSection04" name="PD_single" class="form-control required"
              required="required">
              <option value="">Select</option>
              <option value="79">79</option>
              <option value="78">78</option>
              <option value="77">77</option>
              <option value="76">76</option>
              <option value="75">75</option>
              <option value="74">74</option>
              <option value="73">73</option>
              <option value="72">72</option>
              <option value="71">71</option>
              <option value="70">70</option>
              <option value="69">69</option>
              <option value="68">68</option>
              <option value="67">67</option>
              <option value="66">66</option>
              <option value="65">65</option>
              <option value="64">64</option>
              <option value="63">63</option>
              <option value="62">62</option>
              <option value="61">61</option>
              <option value="60">60</option>
              <option value="59">59</option>
              <option value="58">58</option>
              <option value="57">57</option>
              <option value="56">56</option>
              <option value="55">55</option>
              <option value="54">54</option>
              <option value="53">53</option>
              <option value="52">52</option>
              <option value="51">51</option>
              <option value="50">50</option>
              <option value="49">49</option>
              <option value="48">48</option>
              <option value="47">47</option>
              <option value="46">46</option>
              <option value="45">45</option>
              <option value="44">44</option>
              <option value="43">43</option>
              <option value="42">42</option>
              <option value="41">41</option>
              <option value="40">40</option>
              <option value="39">39</option>
              <option value="38">38</option>
              <option value="37">37</option>
              <option value="36">36</option>
              <option value="35">35</option>
            </select>
          </span>
          <div role="tooltip" class="tooltip tooltip-danger bottom" data-bind="visible: singlePD.isModified() &amp;&amp; !singlePD.isValid()" style="display: none;">
            <div class="tooltip-arrow"></div>
            <div class="tooltip-inner">
              <span id="PD_Single-error" class="error" data-bind="validationMessage: singlePD" style="display: none;"></span>
            </div>
          </div>
        </div>
        <div class="form-group form-control-pd hidden">
          <span class="ui-select ui-select-a" id="pdSection05" aria-label="Select PD value">
            <select data-msg-required="Select left PD" name="PD_left" data-bind="validatableValue:leftPD, validationElement: leftPD,value:leftPD, valueAllowUnset: true" class="form-control required" aria-labelledby="pdSection05" required="required">
              <option value="">Left</option>
              <option value="40.0">40.0</option>
              <option value="39.5">39.5</option>
              <option value="39.0">39.0</option>
              <option value="38.5">38.5</option>
              <option value="38.0">38.0</option>
              <option value="37.5">37.5</option>
              <option value="37.0">37.0</option>
              <option value="36.5">36.5</option>
              <option value="36.0">36.0</option>
              <option value="35.5">35.5</option>
              <option value="35.0">35.0</option>
              <option value="34.5">34.5</option>
              <option value="34.0">34.0</option>
              <option value="33.5">33.5</option>
              <option value="33.0">33.0</option>
              <option value="32.5">32.5</option>
              <option value="32.0">32.0</option>
              <option value="31.5">31.5</option>
              <option value="31.0">31.0</option>
              <option value="30.5">30.5</option>
              <option value="30.0">30.0</option>
              <option value="29.5">29.5</option>
              <option value="29.0">29.0</option>
              <option value="28.5">28.5</option>
              <option value="28.0">28.0</option>
              <option value="27.5">27.5</option>
              <option value="27.0">27.0</option>
              <option value="26.5">26.5</option>
              <option value="26.0">26.0</option>
              <option value="25.5">25.5</option>
              <option value="25.0">25.0</option>
              <option value="24.5">24.5</option>
              <option value="24.0">24.0</option>
              <option value="23.5">23.5</option>
              <option value="23.0">23.0</option>
              <option value="22.5">22.5</option>
              <option value="22.0">22.0</option>
              <option value="21.5">21.5</option>
              <option value="21.0">21.0</option>
              <option value="20.5">20.5</option>
              <option value="20.0">20.0</option>
              <option value="19.5">19.5</option>
              <option value="19.0">19.0</option>
              <option value="18.5">18.5</option>
              <option value="18.0">18.0</option>
              <option value="17.5">17.5</option>
              <option value="17.0">17.0</option>
              <option value="16.5">16.5</option>
              <option value="16.0">16.0</option>
              <option value="15.5">15.5</option>
              <option value="15.0">15.0</option>
            </select>
          </span>
          <div role="tooltip" class="tooltip tooltip-danger bottom" data-bind="visible: leftPD.isModified() &amp;&amp; !leftPD.isValid()" style="display: none;">
            <div class="tooltip-arrow"></div>
            <div class="tooltip-inner">
              <span id="PD_left-error" class="error" data-bind="validationMessage: leftPD" style="display: none;"></span>
            </div>
          </div>
        </div>
        <div class="form-group form-control-pd hidden">
          <span class="ui-select ui-select-a" id="pdSection06" aria-label="Select PD value">
            <select data-msg-required="Select right PD" data-bind="validatableValue:rightPD, validationElement: rightPD,value:rightPD, valueAllowUnset: true" name="PD_right" class="form-control required" aria-labelledby="pdSection06"
              required="required">
              <option value="">Right</option>
              <option value="40.0">40.0</option>
              <option value="39.5">39.5</option>
              <option value="39.0">39.0</option>
              <option value="38.5">38.5</option>
              <option value="38.0">38.0</option>
              <option value="37.5">37.5</option>
              <option value="37.0">37.0</option>
              <option value="36.5">36.5</option>
              <option value="36.0">36.0</option>
              <option value="35.5">35.5</option>
              <option value="35.0">35.0</option>
              <option value="34.5">34.5</option>
              <option value="34.0">34.0</option>
              <option value="33.5">33.5</option>
              <option value="33.0">33.0</option>
              <option value="32.5">32.5</option>
              <option value="32.0">32.0</option>
              <option value="31.5">31.5</option>
              <option value="31.0">31.0</option>
              <option value="30.5">30.5</option>
              <option value="30.0">30.0</option>
              <option value="29.5">29.5</option>
              <option value="29.0">29.0</option>
              <option value="28.5">28.5</option>
              <option value="28.0">28.0</option>
              <option value="27.5">27.5</option>
              <option value="27.0">27.0</option>
              <option value="26.5">26.5</option>
              <option value="26.0">26.0</option>
              <option value="25.5">25.5</option>
              <option value="25.0">25.0</option>
              <option value="24.5">24.5</option>
              <option value="24.0">24.0</option>
              <option value="23.5">23.5</option>
              <option value="23.0">23.0</option>
              <option value="22.5">22.5</option>
              <option value="22.0">22.0</option>
              <option value="21.5">21.5</option>
              <option value="21.0">21.0</option>
              <option value="20.5">20.5</option>
              <option value="20.0">20.0</option>
              <option value="19.5">19.5</option>
              <option value="19.0">19.0</option>
              <option value="18.5">18.5</option>
              <option value="18.0">18.0</option>
              <option value="17.5">17.5</option>
              <option value="17.0">17.0</option>
              <option value="16.5">16.5</option>
              <option value="16.0">16.0</option>
              <option value="15.5">15.5</option>
              <option value="15.0">15.0</option>
            </select>
          </span>
          <div role="tooltip" class="tooltip tooltip-danger bottom" data-bind="visible: rightPD.isModified() &amp;&amp; !rightPD.isValid()" style="display: none;">
            <div class="tooltip-arrow"></div>
            <div class="tooltip-inner">
              <span id="PD_left-error" class="error" data-bind="validationMessage: rightPD" style="display: none;"></span>
            </div>
          </div>
        </div>
      </div>
    </fieldset>
    <div class="clearfix show-grid"></div>
    <div class="clearfix show-grid"></div>
    <div class="clearfix show-grid"></div>
    <div id="collapseUploadPhoto" class="form-group text-center collapse in" aria-expanded="true">
      <p>
        <i class="fa fa-image text-primary" aria-hidden="true"></i>&nbsp; <span id="tipFileTryOnPhoto" data-bind="text: uploadImageName" class="small">no file selected</span>&nbsp; <span class="input-upload small text-book"> Change photo. <input
            aria-label="Please select a valid Image File" data-target="#tipFileTryOnPhoto" data-bind="event: { change: function() { return changeImage($element.files[0]) } }" data-msg-required="Please choose a photo."
            accept="image/jpeg,image/gif,image/png" name="photo" value="" data-msg-accept="Please select a valid Image File." type="file">
        </span>
      </p>
    </div>
    <div class="clearfix show-grid"></div>
    <hr>
    <div class="form-group text-center">
      <label class="checkbox-inline checkbox-sm small">
        <input name="upLoadPhotoTerms" data-bind="checked: uploadTerms" class="required" type="checkbox">
        <i class="fa ui-appearance" aria-hidden="true"></i> By uploading a photo, you agree to the <a class="has-underline" href="/terms-of-use-agreement" target="_blank" title="Opens in a new window">Terms of Use</a> and
        <a class="has-underline" href="/privacy-policy" target="_blank" title="Opens in a new window">Privacy Policy</a> of this website. </label>
      <div role="tooltip" class="tooltip tooltip-danger bottom" data-bind="visible: showErrorTC" style="display: none;">
        <div class="tooltip-arrow"></div>
        <div class="tooltip-inner pull-left">
          <span id="upLoadPhotoTerms-error" class="error" data-bind="text: uploadTermErrorMsg">Please accept the Terms of Use and Privacy Policy.</span>
        </div>
      </div>
    </div>
  </div>
  <div class="modal-footer">
    <button type="submit" data-bind="click: function() {  return uploadBtnClick();}" class="btn btn-primary btn-lg center-block text-heavy">UPLOAD</button>
  </div>
</form>

<form id="updatePupilForm" novalidate="novalidate">
  <div class="modal-header">
    <a href="javascript:void(0);" role="button" class="btn-close" data-dismiss="modal" aria-label="Close">
                                        <i class="icon-close" aria-hidden="true"></i>
                                    </a>
    <a href="javascript:void(0);" data-bind="click: function() { goBackUploadForm();}" class="pull-left btn-back" role="button">
                                        <i class="fa fa-angle-left"></i>Back
                                    </a>
  </div>
  <div class="modal-body">
    <p class="h5 text-center"> To adjust your photo, move the crosshairs until they are centered directly over your pupils. </p>
    <div class="show-grid clearfix"></div>
    <div class="container-adjust">
      <div class="container-responsive center-block">
        <img class="view-photo" width="420" height="420" src="" alt="The uploaded try-on image">
        <div class="container-content">
          <button class="btn l_pupil pupil ui-draggable ui-draggable-handle" type="button">
            <span class="sr-only">Left Hair cross</span>
          </button>
          <button class="btn r_pupil pupil ui-draggable ui-draggable-handle" type="button">
            <span class="sr-only">Right Hair cross</span>
          </button>
        </div>
      </div>
      <button type="button" data-bind="click: function() {return rotateImg(); }" class="btn btn-rotate">
        <i class="icon icon-rotate" aria-hidden="true"></i> Rotate </button>
    </div>
    <div class="show-grid clearfix"></div>
    <div class="show-grid clearfix"></div>
    <div class="row">
      <div class="col-xs-12 col-xs-offset-0 col-sm-10 col-sm-offset-1 form-group text-center">
        <label class="checkbox-inline checkbox-sm">
          <input name="upLoadPhotoConfirmTerms" data-bind="checked: confirmUploadCheck" class="required" type="checkbox">
          <i class="fa ui-appearance" aria-hidden="true"></i> By confirming the updating of photo you agree to the <a class="has-underline" href="/terms-of-use-agreement" target="_blank" title="Opens in a new window">Terms of Use</a> and
          <a class="has-underline" href="/privacy-policy" target="_blank" title="Opens in a new window">Privacy Policy</a> of this website. </label>
        <div role="tooltip" class="tooltip tooltip-danger bottom" data-bind="visible: showErrorTC" style="display: none;">
          <div class="tooltip-arrow"></div>
          <div class="tooltip-inner">
            <span id="upLoadPhotoConfirmTerms-error" class="error" data-bind="text: uploadTermErrorMsg">Please accept the Terms of Use and Privacy Policy.</span>
          </div>
        </div>
      </div>
    </div>
    <div class="modal-footer">
      <button type="submit" data-bind="click: function() { return confirmUpload(); }" class="btn btn-primary btn-lg center-block text-heavy">UPLOAD</button>
    </div>
  </div>
</form>

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MEMBER LOOKUP

Visionworks now accepts select insurance plans online. Please enter your
information so that we may locate your benefits.
 Need Help?

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We are sorry, insurance shopping is not currently available.
Member ID

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MM 01 02 03 04 05 06 07 08 09 10 11 12
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YYYY20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922


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Questions? We are here to help.  1-800-784-7427   or  Live Chat


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WELCOME  ,

We have located your insurance. Unfortunately, your plan cannot be accessed
online at this time. We apologize for the inconvenience.

Please visit your local Visionworks to use your insurance in store.

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your full benefits to other purchases.

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If you have any questions about your benefits, please contact your plan
administrator.

We were not able to locate your information. Please confirm that the information
you entered matches your plan documents.

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contact your local Visionworks to see if your plan is accepted in-store.

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Member ID

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MM 01 02 03 04 05 06 07 08 09 10 11 12
DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
27 28 29 30 31
YYYY20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922


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different name will be removed from your cart.



Questions? We are here to help.  1-800-784-7427  or  Live Chat



NEED HELP?

WHAT VISION PLANS DO YOU ACCEPT ONLINE?

We accept select plans from Davis Vision.

 * Alcoa
 * Arconic
 * Arnot Health
 * Aspludh Tree
 * BCBS Arizona
 * BCBS Florida
 * BCBS Lousianna
 * BCBS MN
 * BCBS New Jersey
 * Blue Cross Blue Shield FEP Vision
 * Boeing
 * Boler Company
 * City of Albuquerque
 * City of Irving
 * City of Phoenix
 * Comcast
 * Cook County
 * Cookeville
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Left40.039.539.038.538.037.537.036.536.035.535.034.534.033.533.032.532.031.531.030.530.029.529.028.528.027.527.026.526.025.525.024.524.023.523.022.522.021.521.020.520.019.519.018.518.017.517.016.516.015.515.0

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Left40.039.539.038.538.037.537.036.536.035.535.034.534.033.533.032.532.031.531.030.530.029.529.028.528.027.527.026.526.025.525.024.524.023.523.022.522.021.521.020.520.019.519.018.518.017.517.016.516.015.515.0

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Collection page displayed in grid view

1 Day Acuvue Moist Multifocal 30pk


Acuvue 1 Day Acuvue Moist Multifocal 30pk





$62.00


1 Day Acuvue Moist Multifocal 90pk


Acuvue 1 Day Acuvue Moist Multifocal 90pk





$112.00


1-Day Acuvue Moist 30 Pack


Acuvue 1-Day Acuvue Moist 30 Pack





$50.00


1-Day Acuvue Moist 90 Pack


Acuvue 1-Day Acuvue Moist 90 Pack





$88.00


1-Day Acuvue Moist For Astig 30pk


Acuvue 1-Day Acuvue Moist For Astig 30pk





$51.00


1-Day Acuvue Moist For Astig 90pk


Acuvue 1-Day Acuvue Moist For Astig 90pk





$102.00


Acuvue 2 6 pack


Acuvue Acuvue 2 6 pack





$53.00


Ethos AquaTech 2 Week for Astigmati


Aquatech Ethos AquaTech 2 Week for Astigmati





$45.00


1-Day Acuvue Define 30pk


Acuvue 1-Day Acuvue Define 30pk





$56.00


AirOptix Plus Hydra for Astig 6pk


Air-Optix AirOptix Plus Hydra for Astig 6pk





$81.00


Air Optix Plus HydraGlyde 6pk


Air-Optix Air Optix Plus HydraGlyde 6pk





$67.00


AirOptix Plus Hydra Multifocal 6pk


Air-Optix AirOptix Plus Hydra Multifocal 6pk





$102.00


Air Optix Night and Day Aqua 6 Pack


Air-Optix Air Optix Night and Day Aqua 6 Pack





$98.00


Acuvue Oasys 24 pack


Acuvue Acuvue Oasys 24 pack





$161.00


Acuvue Oasys For Presbyopia 6 Pack


Acuvue Acuvue Oasys For Presbyopia 6 Pack





$93.00


Air Optix Colors 6 Pack


Air-Optix Air Optix Colors 6 Pack





$110.00


Air Optix Colors 2 Pk


Air-Optix Air Optix Colors 2 Pk





$50.00


Acuvue Oasys HydraLuxe 1-Day 90pk


Acuvue Acuvue Oasys HydraLuxe 1-Day 90pk





$105.00


Acuvue Oasys For Astigmatism 6 pack


Acuvue Acuvue Oasys For Astigmatism 6 pack





$62.00


Ethos AquaTech Monthly MF Dist 6PK


Aquatech Ethos AquaTech Monthly MF Dist 6PK





$87.00


Ethos AquaTech Monthly MF Near 6PK


Aquatech Ethos AquaTech Monthly MF Near 6PK





$87.00


Ethos AquaTech Monthly 6PK


Aquatech Ethos AquaTech Monthly 6PK





$51.00


Ethos AquaTech Monthly Astigmastism


Aquatech Ethos AquaTech Monthly Astigmastism





$69.00


Ethos AquaTech 1 Day Multifocal


Aquatech Ethos AquaTech 1 Day Multifocal





$91.00

Collection page displayed in list view

1 Day Acuvue Moist Multifocal 30pk

1 Day Acuvue Moist Multifocal 30pk



$62.00

1 Day Acuvue Moist Multifocal 90pk

1 Day Acuvue Moist Multifocal 90pk



$112.00

1-Day Acuvue Moist 30 Pack

1-Day Acuvue Moist 30 Pack



$50.00

1-Day Acuvue Moist 90 Pack

1-Day Acuvue Moist 90 Pack



$88.00

1-Day Acuvue Moist For Astig 30pk

1-Day Acuvue Moist For Astig 30pk



$51.00

1-Day Acuvue Moist For Astig 90pk

1-Day Acuvue Moist For Astig 90pk



$102.00

Acuvue 2 6 pack

Acuvue 2 6 pack



$53.00

Ethos AquaTech 2 Week for Astigmati

Ethos AquaTech 2 Week for Astigmati



$45.00

1-Day Acuvue Define 30pk

1-Day Acuvue Define 30pk



$56.00

AirOptix Plus Hydra for Astig 6pk

AirOptix Plus Hydra for Astig 6pk



$81.00

Air Optix Plus HydraGlyde 6pk

Air Optix Plus HydraGlyde 6pk



$67.00

AirOptix Plus Hydra Multifocal 6pk

AirOptix Plus Hydra Multifocal 6pk



$102.00

Air Optix Night and Day Aqua 6 Pack

Air Optix Night and Day Aqua 6 Pack



$98.00

Acuvue Oasys 24 pack

Acuvue Oasys 24 pack



$161.00

Acuvue Oasys For Presbyopia 6 Pack

Acuvue Oasys For Presbyopia 6 Pack



$93.00

Air Optix Colors 6 Pack

Air Optix Colors 6 Pack



$110.00

Air Optix Colors 2 Pk

Air Optix Colors 2 Pk



$50.00

Acuvue Oasys HydraLuxe 1-Day 90pk

Acuvue Oasys HydraLuxe 1-Day 90pk



$105.00

Acuvue Oasys For Astigmatism 6 pack

Acuvue Oasys For Astigmatism 6 pack



$62.00

Ethos AquaTech Monthly MF Dist 6PK

Ethos AquaTech Monthly MF Dist 6PK



$87.00

Ethos AquaTech Monthly MF Near 6PK

Ethos AquaTech Monthly MF Near 6PK



$87.00

Ethos AquaTech Monthly 6PK

Ethos AquaTech Monthly 6PK



$51.00

Ethos AquaTech Monthly Astigmastism

Ethos AquaTech Monthly Astigmastism



$69.00

Ethos AquaTech 1 Day Multifocal

Ethos AquaTech 1 Day Multifocal



$91.00

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ORDER CONTACT LENSES ONLINE

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