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honolulu's best doctors

Drs. Jeff and Rupa Wong newly named to the 2011 Best Doctors List!

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Online Scheduling
» Request an Appointment Today!

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Coupons, Deals & Promotions

Print out and bring to your appointment
10% Off Sunglasses <jpg>
$25 Cosmetics Credit <jpg>
$50 Off DYSPORT® Treatment <jpg>
20% Off Sunglasses

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Articles online & coming soon...

HEC Newsletters
Midweek - June 9, 2010
Honolulu Magazine - June, 2011

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What are Multi Focal Lens Implants?

We offer the newest technological advances in multifocal lens implants...more

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Dr. Jeff Wong on Cataract Surgery

HEC in the Media

Dr. Rupa K. Wong on Channel 2 News

HEC in the Media

"Ask A Specialist"... more

Morning News... more

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Honolulu Eye Clinic  

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Contact Lens Form

Only current patients of Honolulu Eye Clinic can order contact lenses on our website. Since you are a patient, you do not need to enter your brand or contact lens information - we'll verify that information for you! Also, as long as your vision insurance information on file is current, we will bill your insurance for you and charge the balance to your credit card.

Honolulu Eye Clinic offers the following brands:

Acuvue • AirOptix, Multi-focal and Night & Day • Biofinity • Proclear
(Focus) Dailies Aqua Comfort Plus • FreshLook (Colors) • Bausch & Lomb (B&L)

 


  PATIENT INFORMATION

       
*First Name:    
       
*Last Name:    
       
*Phone Number:    
       
*Email Address:    
       
*Shipping Address:
       
*City: *State: *Zip:
       
*Right Eye - Quantity:    
       
*Left Eye - Quantity:    
       
"Free direct shipping to your house when you order a 1 year supply
       

  CREDIT CARD INFO & SHIPPING

       
*Card Type:    
       
*Card Number: *Exp:
       
Shipping Method: Yes, I would like my contact lenses directly shipped to my house for an additional $6.95

I would prefer to pick up my contacts from Honolulu Eye Clinic

       
Vision Insurance: I would like to use my vision insurance for this order

I would prefer to pay out of pocket for this order and not use my vision insurance for this order

       
Please Select: I would like to receive an email confirmation with the amount to be charged to my credit prior to processing. This may delay ordering your contact lenses by one day.

I do not need an email confirmation prior to processing my credit card.

       
Additional questions/comments:
       
  All patients will receive an itemized receipt via email
  after your card has been charged.