Employee safety eyewear benefit

Order prescription safety eyewear

Have your employee ID, store number, PD, and a clear prescription photo ready. HEIC, HEIF, JPG, PNG, GIF, and PDF uploads are accepted up to 25MB.

This is your covered eyewear benefit. No payment card needed. Pick your frame, submit the form, and the order ships to the store you enter.

1EmployeeID and contact
2StoreWhere it ships
3RX detailsPrescription photo and PD

Before you start

Employee ID
Store number
Prescription photo
PD distance

You're ordering XL Vise Z87

XL/wide one-size frame

Locked from frame picker

XL fit confirmation This is an XL or wide-fit Vise. Choose it only if you need extra frame width or more lens height.

"*" indicates required fields

Employee Information

Please enter your information below. Before submitting your order, ensure you have the following items ready:

1. A valid, up-to-date prescription.
2. Your PD distance (typically found in mm on your prescription; if not, simply call your doctor, and they'll provide it for free).

Employee ID*

Used to match your employee benefit order.

Store name, city, or number*

Start typing your store number, city, or store name.

First Name*

Last Name*

Employee Contact Information

This information lets us reach the employee about their order and let them know when their glasses ship.

Employee Cell Phone*

Personal email*

Use a personal email address so we can send your confirmation and remind you when next year's pair is ready.

Prescription Information

Please enter your prescription details and upload a copy below.

PD (Pupillary Distance)*

PD is typically in mm on your prescription. If the number is written between 20-35 mm on your prescription, please double it here.

Refractive Power (ADD)*

Single Vision

Progressive

Bifocal

If your prescription includes an addition (ADD), you need correction for multiple distances, requiring either progressive or bifocal lenses. Segment Height (SH) is the vertical measurement from the bottom of the lens to the start of the ADD on Progressive lenses, or to the top line of a Bifocal.

Segment Height (Left)*

Segment Height (Right)*

Upload prescription photo*

Accepted file types: jpg, jpeg, png, gif, pdf, heic, heif, Max. file size: 25 MB.

Upload a clear photo or PDF of your prescription. HEIC iPhone photos are accepted.

Name

This field is for validation purposes and should be left unchanged.