Our Vision
Providing Glasses in the US
The Need
Our Voucher Program
How the US Program Is Funded
Who Receives the Glasses?
Who Is Eligible?
How to Apply for Assistance
Sources of Free Eye Exams
How the Program Operates
Participating Agencies
Special Programs & Partnerships
Agency Resources
Participating Dispensers
Optical Dispenser Resources
Memo for Dispensers (PDF)
Vouchers and Rates (PDF)
Dispenser Inquiry Form
Dispenser Request Form
Program Updates
Providing Glasses Overseas
Impact: How You Can Help
People: Partners & Supporters
News
Contact Us
Providing Glasses in the US
Optical Dispenser Inquiry and Input Form
Please fill out the form below to:
Inquire about the status of a previously submitted request for reimbursement
Update your dispenser information
Provide feedback to New Eyes
A representative from New Eyes will contact you to follow up on your request.
* indicates a required field
Dispenser Name*
Contact Person*
Dispenser # (if known)
Day Telephone #*
Email Address*
Requests:
What is the status of a reimbursement request that we submitted on:
Format: MM/DD/YYYY
for voucher #:
Please update your files on this agency to reflect the following changes:
Comments/Suggestions:
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549 Millburn Avenue, Short Hills, NJ 07078 | 973-376-4903
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Optical Dispenser Inquiry and Input Form
