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U.S. Toll Free: +1.877.533.1509 |

Direct Dial: +1.540.636.7976

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Home
Products
sMap3D
Ordering
- New Accounts
- Online Ordering
  - Fitting Set Orders
  - Patient Orders
Learning Center
Support
Why Visionary Optics

Fitting Set Orders

Fitting Set Orders

Please fill out the form below for Fitting Set Orders.

Ordered by:*
Email*
Enter Email Confirm Email
Date*
1st Order
- 1st order - do not have an Account #
Account #*
PO #
Shipping*
- UPS Ground
- UPS 3rd Day Select
- UPS 2nd Day
- UPS Overnight
- Other
If Other, what Shipping method?*
Lenses*
Choose a Lens Product and then further define design (if available), diameter, and # of lenses in set (if available).
- Europa Scleral
- Elara Scleral
- Jupiter Scleral
- K-Max (GP)
- I-Kone (GP)
- HydroKone (Soft)
- RevEyes (Soft)
Europa Fitting Diameter*
- 16.0
- 16.0 Toric PC
- 18.0
- 18.0 Toric PC
- 20.0
Europa # of Lenses in Set*
- 7
- 14
Specify Toric PC Amount
- 2D
- 4D
Specify Toric PC Amount
- Advanced (2D/4D)
- Standard (2D)
- Standard (4D)
Specify Toric PC Amount
- Advanced (2D/4D)
- Standard (2D)
- Standard (4D)
Europa # of Lenses in Set*
- 7
Elara Fitting Design*
- Normal Cornea
Elara Fitting Diameter*
- 15.5mm
Elara # of Lenses in Set*
- 12
Jupiter Fitting Design*
- B (standard)
- K (advanced keratoconic)
- R (reverse geometry)
- S (steep) / F (flat)
Jupiter Fitting Diameter*
- 15.0
- 15.6
- 18.2
Jupiter # of Lenses in Set*
- 14
Jupiter # of Lenses in Set*
- 7
K-Max Fitting Diameter*
- 11.5 mm
K-Max # of Lenses in Set*
- 14
I-Kone Fitting Diameter*
- 9.6
- 10.4
I-Kone # of Lenses in Set*
- 13
I-Kone # of Lenses in Set*
- 14
HydroKone Fitting Design*
- Standard
- Globus
- Pellucid
HydroKone Fitting Diameter*
- 14.8 mm
HydroKone # of Lenses in Set*
- 6
- 9
HydroKone # of Lenses in Set*
- 6
- 8
RevEyes Fitting Diameter*
- 14.5 mm
RevEyes # of Lenses in Set*
- 4
- 6
Additional Lenses
Quantity of additional lenses needed.
(Include parameters of additional lenses in the Special Instructions field below.)
Special Instructions
Comments
This field is for validation purposes and should be left unchanged.

If you would like to order a CUSTOM Fitting Set, please contact Visionary Optics’ Consultation Department.

Printable Forms

Fitting Set Order Form Instructions PDF
Fitting Set Order Form PDF

Contact Information

Address:
Visionary Optics
1325 Progress Drive
Front Royal VA 22630

Customer Service:
Toll Free: 877-533-1509
Direct Dial: 540-636-7976
Fax: 540-635-8846

Please contact our consultants for design assistance at:

U.S. Toll Free: +1.877.533.1509
Direct Dial: +1.540.636.7976
We can adjust the parameters of the lens to accommodate most situations.

Products

Scleral Lens for Regular Corneas
Scleral Lens for Irregular Corneas
Corneal GP Lenses
Custom Soft Lenses

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