Contact Lens Order Request

warning Note: Contact Lens orders are for customers with their valid prescription information on file. Also, insurance benefits cannot be applied through this form. If you are a new customer, or wish to apply vision insurance to an order, please call our office at (404) 534-1222 during our normal business hours for assistance.


Belvedere Eye Center offers a full range of specialty and therapeutic contact lenses, in addition to the products listed on this page. Please CONTACT US if you do not find your lenses on the list, and we will help place your order promptly.

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*Note: If your prescription is the same in both eyes, you have the option to only order one box at a time. For this option, fill out information for Right Eye only and select None and 0 for your Left Eye.    

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Please do not submit any Protected Health Information (PHI).

CONTACT US

We hope to see you soon

  • Belvedere Eye Center

    2891 N Decatur Rd, STE F,
    Decatur, GA 30033

    Monday:

    9:30 am - 5:00 pm

    Tuesday:

    9:30 am - 5:00 pm

    Wednesday:

    9:30 am - 5:00 pm

    Thursday:

    9:30 am - 5:00 pm

    Friday:

    9:30 am - 5:00 pm

    Saturday:

    9:30 am - 2:00 pm

    Sunday:

    Closed

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Please do not submit any Protected Health Information (PHI).