Please fill out a short form below, we will contact you shortly. 

Together with ZEISS, we are providing FREE glasses to front-line hospital medical personnel in New York.

Please fill out a short form below, we will contact you shortly.

*Complimentary eyewear is available while supplies last.

New York State only.





Name:

Phone:

Email:

Shipping address:

Name of Healthcare Establishment (New York State):

Work address:

Work position:

Frame style & color:

Pupillary distance (PD):



Once we receive your application, we will contact you for your prescription & work ID.

QUESTIONS?

Hello@BrooklynSpectacles.com 718.388.7088