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19576 Holt Street N.W.
Elk River, MN 55330
(763) 241-2083

Hours:
Weekdays - 9am to 9pm
Saturdays - 9am to 6pm
Sundays - 12pm to 5pm

Our Other Locations:
Maple Grove, MN
Red Wing, MN

Contact Order form

Required fields are marked with *

Contact information

First name:*
Last name:*
E-mail:*
Address:*
City:*
State:*
Zip:*
Telephone number:*

Please enter patients you wish to purchase for:

  Patient Name Right Qty Left Qty Comments/Special/Color
1.
2.
3.
4.
5.

Would you like us to mail your order directly to you? *

Note: If you are having your contacts mailed to you, we will call you for payment information.

If your eye exam was not done at our location and you have not ordered contacts from your new prescription,
please give us the name and location where your exam was and we will be happy to call to get your prescription.

Comments/Details:

To avoid double order please press the submit button only once!