Rochester Opthalmalogical Group

Please complete the form below to re-order contact lenses You must fill out ALL fields before submitting! Thank you.
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Would you like to use your insurance benefits: Yes No
If you answered yes, would you please enter your insurance company:
I would like to pick up my lenses at: Brighton Office Greece Office
Enter contact lense type and quantity:
If you would like to have your lenses mailed, please call the office directly. Brighton: 244-6011 ext. 319 Greece: 225-1890: *Note: Contact lens precriptions expire every year. If you have not been seen within a years' time, we will not be able to fill your order.