Urban Eyecare Personal Shopping

Get personalized, expert styling advice from our styling opticicians, including fashion advice and outfit recommendations

Schedule a free one on one consultation with a frame styling expert and explore our collections, from minimalist to fantastical, and everything in between - we've got you covered.

Not a current patient? Not a problem! We accept outside prescriptions

Which location would you prefer to visit?*

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Birthday*

Date

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Eyewear Styling 1:1*

Any specific concerns or questions? Any specific styles or brands you are looking for?

We will reach out if required prior to your appointment

Do you have vision insurance?

Are you the Primary?

Insurance name

We are only In-network with the listed vision insurance providers. We can provide you with an invoice for out-of-network coverage.

Member ID#

If there is no ID number, please write the last four of your SSN

If you have vision insurance, please list the details below

Name, DOB, last 4 of SS of main member and name of main member

Do you have a PDF of your Rx? Upload it below!

Do you have a copy of your Rx you can take a picture of?