LaFollette Eye Clinic

LOCATION
2145 Jacksboro Pike
LaFollette, TN 37766
Get Directions

Phone: (423) 562-1531
Fax: (423) 562-1724

info@lafolletteeyeclinic.com

HOURS
Mon-Tue, Thu-Fri
8:30am - 5:30pm

Wednesday
8:30am - 5:00pm

Order Contacts

Fill out the information below to submit your contact lens order. LaFollette Eye Clinic will contact you to confirm your order and obtain payment. If you have any questions, please call (423) 562-1531. (*required)

*First Name:

*Last Name:

*Email:

*Date of birth:

*Telephone number:

Do you have health insurance?
If so, what type(s)?:

Do you have vision insurance?
If so, what type(s)?:

Type/Brand/Power of Contact Lenses:

	Order the contact lens parameters of the samples that were given to me at my last visit.
	Order more contact lenses in the same power of my last order.
	Other. Please explain in comments field below.

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