Entry 1: How will you send your Rx information
Select how you will tell us about your rx
Use the RX from my last order - Skip to Entry 3
Use the RX from pair 1 of this order - Skip to Entry 3
I will enter it below
I will Send By email - skip to Entry 3
I will Send By Fax - skip to Entry 3
I will Mail it to You with Frame - skip to Entry 3
Standard power ranges +/-
10.00 sphere, Cylinder +/-5.00,
Add power to +400, Prism up to 5 per eye
If your RX is outside these ranges we're sorry we can not help you at this time
NOTE: for entry purposes an RX written as -125 is the same as -1.25"
Sphere :
Cylinder
Axis :
Add (Bifocal Power) NEAR VISION (NV)
Right (OD) :
+10.00(+$4.95)
+9.75(+$4.95)
+9.50(+$4.95)
+9.25(+$4.95)
+9.00(+$4.95)
+8.75(+$4.95)
+8.50(+$4.95)
+8.25(+$4.95)
+8.00(+$4.95)
+7.75(+$4.95)
+7.50(+$4.95)
+7.25(+$4.95)
+7.00
+6.75
+6.50
+6.25
+6.00
+5.75
+5.50
+5.25
+5.00
+4.75
+4.50
+4.25
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+.75
+.50
+.25
PL/0.0
-.25
-.50
-.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
-6.25
-6.50
-6.75
-7.00
-7.25(+$4.95)
-7.50(+$4.95)
-7.75(+$4.95)
-8.00(+$4.95)
-8.25(+$4.95)
-8.50(+$4.95)
-8.75(+$4.95)
-9.00(+$4.95)
-9.25(+$4.95)
-9.50(+$4.95)
-9.75(+$4.95)
-10.00(+$4.95)
Balance
SPH/NONE
+5.00(+$4.95)
+4.75(+$4.95)
+4.50(+$4.95)
+4.25(+$4.95)
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+.75
+.50
+.25
-.25
-.50
-.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25(+$4.95)
-4.50(+$4.95)
-4.75(+$4.95)
-5.00(+$4.95)
NONE
001
002
003
004
005
006
007
008
009
010
011
012
013
014
015
016
017
018
019
020
021
022
023
024
025
026
027
028
029
030
031
032
033
034
035
036
037
038
039
040
041
042
043
044
045
046
047
048
049
050
051
052
053
054
055
056
057
058
059
060
061
062
063
064
065
066
067
068
069
070
071
072
073
074
075
076
077
078
079
080
081
082
083
084
085
086
087
088
089
090
091
092
093
094
095
096
097
098
099
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
NONE
100(1.00)
125(1.25)
150(1.50)
175(1.75)
200(2.00)
225(2.25)
250(2.50)
275(2.75)
300(3.00)
325(3.25)
350(3.50)
375(3.75)(+$2.95)
400(4.00)(+$2.95
Left (OS):
+10.00(+$4.95)
+9.75(+$4.95)
+9.50(+$4.95)
+9.25(+$4.95)
+9.00(+$4.95)
+8.75(+$4.95)
+8.50(+$4.95)
+8.25(+$4.95)
+8.00(+$4.95)
+7.75(+$4.95)
+7.50(+$4.95)
+7.25(+$4.95)
+7.00
+6.75
+6.50
+6.25
+6.00
+5.75
+5.50
+5.25
+5.00
+4.75
+4.50
+4.25
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+.75
+.50
+.25
PL/0.0
-.25
-.50
-.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
-6.25
-6.50
-6.75
-7.00
-7.25(+$4.95)
-7.50(+$4.95)
-7.75(+$4.95)
-8.00(+$4.95)
-8.25(+$4.95)
-8.50(+$4.95)
-8.75(+$4.95)
-9.00(+$4.95)
-9.25(+$4.95)
-9.50(+$4.95)
-9.75(+$4.95)
-10.00(+$4.95)
Balance
SPH/NONE
+5.00(+$4.95)
+4.75(+$4.95)
+4.50(+$4.95)
+4.25(+$4.95)
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+.75
+.50
+.25
-.25
-.50
-.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25(+$4.95)
-4.50(+$4.95)
-4.75(+$4.95)
-5.00(+$4.95)
NONE
001
002
003
004
005
006
007
008
009
010
011
012
013
014
015
016
017
018
019
020
021
022
023
024
025
026
027
028
029
030
031
032
033
034
035
036
037
038
039
040
041
042
043
044
045
046
047
048
049
050
051
052
053
054
055
056
057
058
059
060
061
062
063
064
065
066
067
068
069
070
071
072
073
074
075
076
077
078
079
080
081
082
083
084
085
086
087
088
089
090
091
092
093
094
095
096
097
098
099
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
NONE
100(1.00)
125(1.25)
150(1.50)
175(1.75)
200(2.00)
225(2.25)
250(2.50)
275(2.75)
300(3.00)
325(3.25)
350(3.50)
375(3.75)(+$2.95)
400(4.00)(+$2.95)
Due to complex nature of prism if your RX requires prism you must fax or email us a
copy of your Dr's RX.
We will confirm the Prism required and update your order.
Rx Written By:
We
strongly urge you to fax (866-616-6059) or email to
orders@jemoptical.com a copy of your Doctors RX
so that we may verify your prescription as we can not be responsible for RX's
entered incorrectly.
Entry 2: Enter Your PD (Pupil Distance) Information
PD's may be written in several forms:
Option 1: a single number which is your Distance PD (example
62 )
Option 2: Two numbers the 1st is your distance PD the 2nd number is your near
PD (example 62/59 )
Option 3: Monocular PD - this is a separate number for each eye (example
32/32 )
Only 1 PD# (the distance) is REQUIRED to make your eyeglasses - the
2nd number is sometimes given by your optical professional and allows us to
more customize your eyeglasses for your needs.
If you have both numbers please enter both.
PD Entry:
20
20.5
21
21.5
22
22.5
23
23.5
24
24.5
25
25.5
26
26.5
27
27.5
28
28.5
29
29.5
30
30.5
31
31.5
32
32.5
33
33.5
34
34.5
35
35.5
36
36.5
37
37.5
38
38.5
39
39.5
40
40.5
41
41.5
42
42.5
43
43.5
44
44.5
45
45.5
46
46.5
47
47.5
48
48.5
49
49.5
50
50.5
51
51.5
52
52.5
53
53.5
54
54.5
55
55.5
56
56.5
57
57.5
58
58.5
59
59.5
60
60.5
61
61.5
62
62.5
63
63.5
64
64.5
65
65.5
66
66.5
67
67.5
68
68.5
69
69.5
70
70.5
71
71.5
72
72.5
73
73.5
74
74.5
75
75.1
PD# 1
20
20.5
21
21.5
22
22.5
23
23.5
24
24.5
25
25.5
26
26.5
27
27.5
28
28.5
29
29.5
30
30.5
31
31.5
32
32.5
33
33.5
34
34.5
35
35.5
36
36.5
37
37.5
38
38.5
39
39.5
40
40.5
41
41.5
42
42.5
43
43.5
44
44.5
45
45.5
46
46.5
47
47.5
48
48.5
49
49.5
50
50.5
51
51.5
52
52.5
53
53.5
54
54.5
55
55.5
56
56.5
57
57.5
58
58.5
59
59.5
60
60.5
61
61.5
62
62.5
63
63.5
64
64.5
65
65.5
66
66.5
67
67.5
68
68.5
69
69.5
70
70.5
71
71.5
72
72.5
73
73.5
74
74.5
75
75.1
PD# 2
You may not have 2 PD
measurements
on your RX Don't worry we only need one to produce your eyeglasses.
Don't have your PD?
If you wish leave them blank and we will use a standard PD for adult males of 62 and for adult females 59.
To make the most accurate eyeglasses for you it is always best to have your
actual PD
Entry 3: Enter Any special instructions or
needs you may have
Special Instructions :
Source :
How Did You Hear About Us
Ordered Before
Google
Bing
Yahoo
Other Search Engine
Friend
Email
EBAY
facebook
Print Ad
Info Booth
Radio
TV
Newspaper
Live Seminar
Other