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If you are only inquiring, you do not need to provide product information.

If you are a member of Akasaka Contact and would like to purchase and shipped to you, please order using the form below.

Please approve Akasaka Contact and Stars' Eye Clinic sharing your personal information to confirm that your purchase does not require a checkup and new prescription.

For inquiries only, it is not necessary to enter product information.

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Please note:

  • Depending on the result of the previous checkup, the number of purchased lenses may be limited or you may not be able to purchase without a new checkup.

  • Web orders for contact lenses can only be accepted for the same product and power that were previously prescribed at Stars' Eye Clinic.

  • If you received a prescription from another clinic, please attach it to the form.

  • Products will be shipped directly from the manufacturer to your home. Depending on the number of purchases, the shipping fee may be free or charged.

  • For this service, we only accept a bank transfer for payment.

  • Payment is confirmed around 12:00 on weekdays.

  • If you would like to pick up the item at the shop, please indicate that in the message column.In that case, you can use a credit card. (Visa, Master, AMEX, JCB) pic

    Name

    Required

    Postal code

    Required

    Address

    Required

    Phone Number

    Required

    Email Address

    Required

    Email Address
    (confirm)

    Required

    Stars' Eye Clinic
    ID number


    Please specify the lens type, product name, and number of packs in the product name.

    Product name for Right eye


    Right eye(OD) frequency
    (PW/CLY/Axis/ADD)

    PW
    CLY
    Axis
    ADD

    Quantity

    • box


    Product name for Left eye


    Left eye(OS) frequency
    (PW/CLY/Axis/ADD)

    PW
    CLY
    Axis
    ADD

    Quantity

    • box


    Attach prescription

    When acquired at a place other than Star Eye Clinic.

    2MB or less in the image file.


    Message

    I agree to Akasaka Contact sharing personal information with Stars' Eye Clinic.

    Required

    Yes

    There is no confirmation page, so please click the submit buttonafter confirming the contents.

    Location / Contact us

    Store name
    Akasaka Contact
    Address
    Daini Horiuchi Bldg. 4F
    2-11-15, Akasaka, Minato-ku,
    Tokyo, 107-0052
    Phone
    03-3505-9970
    Fax
    03-3505-9982
    Email
    Click here
    Operation Hours:
    • Mon.~Fri.

      AM10:00~13:30
      PM15:00~19:00

    • Sat.

      AM10:00~13:30

    • ※Holiday

      Sun / Public holiday

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    Akasaka Contact is located near Tameike Intersection in Akasaka.
    Our building is opposite Exit 11 of Tameike Sanno Station of the Tokyo Metro Subway, and there is a Doutor coffee shop on the ground level (first floor). The building entrance is to the right of the coffee shop, and both Akasaka Contact and Stars' Eye Clinic are on the 4th floor.

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