Contact Lens Order Form

Name: Performance Vision Care – Sandusky
Address: 5005 Milan Road, Sandusky, OH, 44870, US
Telephone: 419-625-7904
Price range: $000 - $300

Need new contacts? Fill out our secure order form above, and we’ll get your lenses to you as soon as possible!

Your Practice*
- Independence
- Sandusky
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Best Method To Reach You*
Email Address
Contact Lens Order Amount*
- 6 months
- 1 year
- Other
Other
How would you like to receive your order?
- I'll pick it up.
- Ship it to me
If you select “ship it to me” please watch for a text with a link to our payment portal. Order will be processed as soon as payment is completed

Please note: Our Sandusky Office will be closed from the 9th until the 14th of August.

We are sorry for any inconvenience this may cause and look forward to seeing our patients when we return.

Contact Lens Order Form

Performance Vision Care – Independence

Hours

Performance Vision Care – Sandusky

Hours