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Appointment Request Form

 

  • Please fill in the form below to setup an appointment at Pewaukee only!
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
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  • This field is for validation purposes and should be left unchanged.

 

Buy the First Pair (New Frame and Lenses) Varilux X Progressive, Eyezen +, or Single Vision with Transitions Signature Gen 8 and Crizal Anti-Reflective Get Free Clear Pair of Lenses of Equal or lesser value Varilux Progressive, Eyezen +, or Single Vision with Crizal Anti-Reflective with purchase of a second frame.

Varilux 1280x480

** Clear Lenses Only Upgrade Option on 2nd Pair Upgrade to Transitions Gen 8 or Xperio UV (Polarized Sunglasses) for $50.00 Stop by the office or call for more details! Now thru December 31, 2019