Contact Lenses

Our current patients can use the order form below to order contact lenses by email. Please be sure and indicate the location where you prefer to pick up your order.

Online Pricing for Benz Contacts

	6 Month Supply	1 Year Supply
Extreme H2O	$160	$280
Extreme H2O Extra	$160	$280
Extreme H2O HC	$192	$344
Extreme H2O LC	$192	$344

*Prices do not include sales tax.

Order Online

Patient Name:
Patient Email:
Patient Phone:	(required for contact by phone)

Do you prefer to be contacted by email or phone
Pick-up Location: Sterling Heights Romeo

Quantity:

Select the contact lenses you would like to order:

Extreme H2O	Extreme H2O Extra
Extreme H2O HC	Extreme H2O LC

Prescription:

	Sphere	Cylinder	Axis	BC	Dia
Right (OD)
Left (OS)

Additional Information (optional):

Miller Optical - Let us be your optical conclusion

Contact Lenses

Online Pricing for Benz Contacts

Order Online