NewView Kiosk
Kiosk Mode • No data stored
Return to Frame Selection
Lens Type
Single Vision
Progressive
Material
CR-39
Poly
Trivex
Hi-Index
Anti-Glare
OFF
ON
Polarization
Select
None
Brown
Gray
Backside Non-Glare
OFF
ON
Mirror Coating
OFF
ON
Custom Price
Enter optional prices (leave blank for $0)
Aspheric (Thin Lens)
OFF
ON
Right (OD)
Left (OS)
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Insurance
Do you have insurance?
Yes
No
Plan
VSP
EyeMed
Spectera (UHC)
Davis Vision
Full Name
Member ID
DOB
Demo mode: benefits are simulated locally. No PHI is stored.
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Order Summary
Item
Retail
Insurance Covers
Patient Pays
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