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Before you complete registration, watch this helpful tutorial to prevent account and order errors in the future!

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Email*

Password*

Confirm Password*

NPI Number*

Taxonomy Number*

Company Information

Account Name*

Dr. Name*

Provider Number*

Phone (Main)*

Phone (Alt)

Fax

Contact Name 1*

Contact Title 1*

Contact Email 1*

Contact Name 2

Contact Title 2

Contact Email 2

Contact Name 3

Contact Title 3

Contact Email 3

Comment

Shipping Address

Street Address*

P.O. Box

City*

State*

Zip*

Billing Address

same as shipping

Street Address

P.O. Box

City

State

Zip

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**BACKORDERED FRAMES**
Due to the increased number of frames on backorder; we suggest you check to make sure the frame you wish to order is available. You can do this by selecting the "ON BACKORDER" category on the right side of the frame catalog to view the frames that are currently unavailable.