1-800 Contacts Receipt Generator
Enter the order, patient, lenses for each eye and payment, then download the contact lens receipt as a PDF or PNG.
EDITOR
Receipt details
Edit your receipt below, then download the same clean layout as PDF or PNG. Enter amounts and totals manually.
An itemized 1800 contacts receipt
1-800 Contacts tells FSA, HSA and out-of-network vision insurance users to submit the invoice for their order, which you can print or email from your account's order history. Claims usually need the patient, the date, the product and quantity, and the amount paid. This 1800 contacts receipt follows the company's email style, with the blue wordmark and the Hello, happy eyes. headline, and lists lenses by eye, Right eye (OD) and Left eye (OS), with the prescription (power, base curve and diameter), boxes and price, then discounts, shipping, tax, the total, the payment card and the ship-to address.
How to use this receipt
| Step | Details |
|---|---|
| 1 | Edit the status, headline and sub-line if needed. |
| 2 | Enter the order number, order date, patient and prescribing doctor. |
| 3 | For each eye, enter the lens and pack size, prescription, quantity and line total. |
| 4 | Fill in the subtotal, discounts, insurance benefit, shipping, tax and total. |
| 5 | Add the payment and ship-to address, then download the PDF or PNG. |
FAQs
How do I get an itemized receipt from 1-800 Contacts?
Sign in, open your order history and print or email the receipt, or call 1-800-266-8228 or chat and ask for a copy to be emailed.
Can I use an FSA or HSA for contact lenses?
Yes. Prescription contact lenses are an eligible medical expense; submit the itemized invoice to your plan.
Do mail-in rebates reduce the amount I paid?
No. The rebate is paid later by prepaid card, and 1-800 Contacts' terms say insurance claims should be reduced by the value of the rebate.
Are the example details real?
No. The order number, patient, doctor, address and card are fictional; prices are typical. 1-800 Contacts is a trademark of 1-800 Contacts, Inc.; this site is not affiliated.