Products – Monroe's Footwear Supply

Wiley X Profile Matte Black Frame

From: $200.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

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Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

Hudson DGXL-3

From: $170.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

Artcraft WF745

From: $170.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

Wiley X Airrage Gloss Black Frame with Strap

From: $200.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

Hudson DGXL-1

From: $170.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

ArmouRx 7017

From: $170.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

ArmouRx 7015

From: $170.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

ArmouRx 7009

From: $170.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

ArmouRx 7008

From: $170.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

ArmouRx 7002

From: $170.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

ArmouRx 7001

From: $170.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

Thorogood Men’s 8″ American Heritage Plain Toe Nano Toe Work Boot 804-4520

$305.00

Details

Thorogood Men’s 6″ American Heritage Plain Toe Nano Toe Work Boot 804-4514

$295.00

Details

Hudson W1 Safety Goggle with Permanent Side Shields (Transparent)

From: $150.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

Hudson VL-11 Safety Frame (Matte Grey)

From: $150.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

Hudson VL-11 Safety Frame (Black/Orange)

From: $150.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

Hudson VL-11 Safety Frame (Black Fade)

From: $150.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

ArmouRx 7012

From: $150.00

SUBMIT YOUR PRESCRIPTION INFORMATION BELOW

Eyewear Prescription Information

Name *

First

Last

Email *

Email

Confirm Email

Upload Prescription

Click or drag a file to this area to upload.

Please enter your eyewear prescription information. If you have a pdf or image file of your prescription, please submit it in the file box above and you do not have to fill out the rest of the form. If you do not have a PDF or image of your prescription saved, please enter your information manually below. If you would like to give us permission to get your prescription from your physician, please visit this page: https://www.monroesfootwearsupply.com/consent-of-release-of-medical-records-to-monroe-optical-inc/

Right Sphere

Right Cylinder

Right Axis

Selected Value: 90

Right Add Power

R PD

Selected Value: 20

Right Seg Height

Selected Value: 10

Right Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Right Eye Additional Details

Please add any extra details to your prescription not listed above.

Left Sphere

Left Cylinder

Left Axis

Selected Value: 90

Left Add Power

L PD

Selected Value: 20

Left Seg Height

Selected Value: 10

Left Vertical Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Horizontal Prism

IF PRISM IS GREATER THAN 3 PLEASE NOTE IN ADDITIONAL DETAILS BEFORE SUBMITTING

Left Eye Additional Details

Please add any extra details to your prescription not listed above.

Details

Browse our Selection

Wiley X Profile Matte Black Frame

Hudson DGXL-3

Artcraft WF745

Wiley X Airrage Gloss Black Frame with Strap

Hudson DGXL-1

ArmouRx 7017

ArmouRx 7015

ArmouRx 7009

ArmouRx 7008

ArmouRx 7002

ArmouRx 7001

Thorogood Men’s 8″ American Heritage Plain Toe Nano Toe Work Boot 804-4520

Thorogood Men’s 6″ American Heritage Plain Toe Nano Toe Work Boot 804-4514

Hudson W1 Safety Goggle with Permanent Side Shields (Transparent)

Hudson VL-11 Safety Frame (Matte Grey)

Hudson VL-11 Safety Frame (Black/Orange)

Hudson VL-11 Safety Frame (Black Fade)

ArmouRx 7012

Men’s Thorogood 8″ Steel Toe WP Moc Toe Work Boot 804-3898

Men’s Thorogood 8″ Steel Toe WP Wedge Sole Work Boot 804-3800

Men’s Thorogood 8″ Composite Toe Waterproof Wedge Sole Boot 804-4210

Thorogood 8″ Steel Toe WP Wedge Sole Work Boot

Men’s Thorogood 6″ Steel Toe WP Wedge Sole Work Boot 804-3600

Men’s Thorogood 6″ Steel Toe WP Moc Toe Work Boot 804-3696