Visionary Optics Payment

Please complete the below information to process a one-time secure payment for your Visionary Optics account.

"*" indicates required fields

1Cardholder Information

2Payment Information

Name*

First Last

Email*

Phone*

Billing Address*

City State

Visionary Optics Account Number*

This should be 4 digits

Pay By*

If choosing 'Pay by Statement', please select your statement date.

Pay by Statement

Other Amount

Statement Date*

One-Time Payment*

Enter the amount to charge

Please note, the “other amount” payment will be applied to the oldest invoice(s) open on your account.

Detailed Payment Receipt

We will have a member of our staff send you a detailed payment receipt to the email provided within 24 hours.

Yes

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

If you receive an error while processing this payment or need further assistance, please reach out to our Billing Department at 877.533.1509 x5 or billing@visionary-optics.com