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NORA/NNSY Safety Eyewear

*Please have a copy of your current eyewear prescription available to send with your order.
**Please use Google Chrome or Microsoft Edge to avoid issues filling out the DD-771.

NORA CUSTOMER SERVICE GUIDANCE FOR SHIPYARD SAFETY EYEWEAR

SAFETY EYEWEAR ORDER REQUIREMENTS:

Authorization form signed by unit
Completed Order form - DD771

AUTHORIZATION FORM
ORDER FORM - DD771
(NOTE: Download both forms to complete fields properly)

ORDER FORM - DD771 is required have the following fields completed:
(NOTE: Fields will have prefilled text with specific data associated. Information with multiple choices will have coordinated drop down selections)

Account Number
All highlighted demographic information
Frame
Eye Size
Bridge Size
Temple Size
Color of Frame
Lens Options
- Single Vision - SV
- Bifocal - Type - Straight Top - ST28, Progressive - PAL
  - 35 wide & Double D plastic only
  - Seg Ht. required for ST, Optical Center and Mono PD required for PAL
Tinted Lens Options available per lens style and material

EMAIL all required documents to: usn.nora.customerservice@health.mil
SUBJECT: SAFETY EYEWEAR ORDER

SAFETY FRAMES
All displayed frames have permanent side shields

AXIS 58-16-140	BC101 51-20-145	BC115 51-20-145
FC706 51-20-145	FC707 ANB 50-21-140	FC707 DMG 52-21-145
JUDGE 55-18-150	PROFILE 54-17-140	PC280 52-18-140
TM10A 54-22-150	SAWFLY KIT NON-RX FIT: SMALL/MEDIUM/LARGE	UPLC RX Only FIT: ONE SIZE FITS ALL

Bureau of Medicine and Surgery
7700 Arlington Blvd. Ste. 5113 Falls Church, VA 22042-5113
This is an official U.S. Navy website
This is a Department of Defense (DoD) Internet computer system.

General Navy Medical Inquiries (to Bureau of Medicine and Surgery): usn.ncr.bumedfchva.mbx.bumed-general-inquiries@health.mil