Optical Frame Selection Guide - Home -- Washington State Correctional Industrieswashingtonci.com/.../optical-frame-selection-guide.pdf · 2019-12-10 · TOLL FREE — 888.606.7788

D E C E M B E R 2 0 1 9

C I O P T I C A L S E L E C T I O N G U I D E

H E A L T H C A R E A U T H O R I T Y

V I S I O N P R O V I D E R S

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TABLE OF CONTENTS

3 MEN'S FRAMES

Metal

Plastic

6 WOMEN'S FRAMES

Metal

Plastic

10 YOUNG ADULT FRAMES

Metal

Plastic

15 CHILDREN'S FRAMES

Metal

Plastic

20 SPECIALITY FRAMES

Metal

Plastic

22 SAFETY FRAMES DISCONTINUED

24 GENERAL INFORMATION

Pricing (SB5352 clients only)

Warranty

Since 1997, the Washington State Correctional Industries

Optical Program has been training their offenders to

produce high quality, cost effective prescription eyewear.

Our high capacity optical production facility is designed to

supply large volume contracts as well as small entities. Our

state of the art production facility is complemented by a

highly experienced civilian supervisory staff ready to serve

your vision hardware needs. In addition to our prescription

eyewear services, we also offer a line of premade reading

glasses designed specifically for the correctional/

institutional environment.

EYE WEAR REQUESTS

Agency policy may affect eligibility. Please contact the CI

Optical Lab if you have any questions.

• Providers, please include legible Rx with complete

information, i.e., frame name, color, eye size, DBL

(skull or cable temples), and any applicable codes.

• Do not Fax POF orders; jobs start when patient’s

frame arrives, and please include Rx with frame.

• CI Optical does not sell or credit frames for patients

to try out.

CI OPTICAL CUSTOMER CARE

Hours of Operation: 7:00 am to 4:00 pm Monday - Friday

Closed for Washington state observed Holidays

[email protected]

TOLL FREE — 888.606.7788

FAX — 888.606.7789

C I O P T I C A L

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M E N ' S F R A M E S

EQ 230

58/16/145

Spring Hinges

Color not shown: BROWN

BLACK

EQ231

60/17/145

Spring Hinges

Color not shown: BROWN

GUNMETAL

ANTIQUE SILVER

BLACK

BROWN

Icon

51/19/135 • 53/19/140

Spring Hinges

Pride

54/17/140

Spring Hinges

BLACK

BROWN

GUNMETAL

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ZB008A

53/19/145 55/19/150

Spring Hinges

BROWN

GOLD

ANTIQUE SILVER

M E N ' S F R A M E S

GREY

OLIVE

TORTOISE

Matthew

54/17/140

Nate

48/18/135 50/18/135 52/18/140 54/20/145 56/20/145 58/20/150

Color not shown: BROWN FADE

GREY FADE

SHADOW

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M E N ' S F R A M E S

BLACK/RED

DEMI PURPLE

Soho 1014

53/17/140

CRYSTAL/BLACK

BLACK/BLUE

SW229

55/16/140

Spring Hinges

BLACK

TORTOISE

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W O M E N ' S F R A M E S

EQ202

50/19/135 • 52/19/140

GOLD

GUNMETAL

EQ201

50/18/140 • 52/18/145

BROWN

PEWTER

Agnes

52/18/135

Spring Hinges • Stainless Steel

BROWN

LILAC

ROSE

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W O M E N ' S F R A M E S

GOLD/PEARL

MOCHA/BROWN

PLUM/PINK

Maria

53/17/135

Spring Hinges

Metaflex 1029

51/17/140

Spring Hinges

BROWN

BURGUNDY

VIOLET

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W O M E N ' S F R A M E S

EQ303

53/16/140

BLACK

BROWN

CHERRY

Gracious

51/18/140

Spring Hinges

BLACK/BLUE

BLACK/VIOLET

BLACK/ROSE

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W O M E N ' S F R A M E S

UL91

52/20/140

BROWN

PINK

Soho 108

52/16/140

BLACK/CRYSTAL

BLACK/PURPLE

TORTOISE

Soho 1013

52/16/140

BROWN/BROWN

BROWN/AQUA

WINE/PURPLE

BROWN/ORANGE

GREY/PURPLE

OLIVE/GREEN

Sunset

51/17/135

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BLACK/SILVER

BLUE/SILVER

BROWN/SILVER

ASAP

49/20/140

Spring Hinges

AMBER

BLACK

GOLD

Cheerful

42/18/125 • 44/18/130

Spring Hinges

Y O U N G A D U L T F R A M E S

Finale

48/19/135 • 50/19/140

Spring Hinges

ANTIQUE BROWN

ANTIQUE SILVER

GOLD

BLACK

BROWN

ORCHID

Lucid

54/18/140

Spring Hinges

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Y O U N G A D U L T F R A M E S

SW312

49/20/140

Spring Hinges

BROWN

BLACK

GUNMETAL

Todd

46/18/135 • 48/18/140 • 50/18/145

Spring Hinges

ANTIQUE BROWN

ANTIQUE GOLD

MATTE BLACK

7724

51/19/135

COFFEE

BURGUNDY

PURPLE

BLACK

BROWN

BURGUNDY

Aurora

48/19/135

BLACK/CRYSTAL

PLUM/CRYSTAL

TORTOISE

Belong

51/17/140

Spring Hinges

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Y O U N G A D U L T F R A M E S

BLACK

BROWN

RED

Melissa

47/17/140

BROWN

BURGUNDY

VIOLET

Lindsay

50/16/135

Corvette

49/19/140

BLACK

BLUE

LILAC

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Y O U N G A D U L T F R A M E S

SW319

48/17/140

BLACK/CRYSTAL

PLUM

TORTOISE

SW 227

53/16/145

Spring Hinges

Soho 1011

50/19/140

BLACK/GREY

BROWN

PURPLE

BURGUNDY

NAVY

SW208

50/18/140 53/18/145

Spring Hinges

BROWN

GREY

TORTOISE

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Y O U N G A D U L T F R A M E S

U-21

50/18/145

BLACK

BROWN

BROWN/BLUE

Urban

51/17/140

Spring Hinges

CRYSTAL

BLACK MATTE

NAVY/TORTOISE MATTE

TORTOISE MATTE

Yale

46/19/135

CRYSTAL/BLACK

BLACK

TORTOISE

BLACK

BROWN

SW 438

48/19/135

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AMBER

BLUE

ROSE

Junior

35/18/115 • 37/18/120 • 39/18/125 • 41/18/125

Spring Hinges

C H I L D R E N ' S F R A M E S

Pumpkin

40/16/120 • 40/16/C30 • 42/16/125 • 42/16/C35

Spring Hinges • Cable and Skull Temples Available

ANTIQUE BROWN

BLACK

BLUE

GOLD

Hide & Seek

42/19/125 • 44/19/130

Spring Hinges

BROWN

NAVY

PURPLE

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C H I L D R E N ' S F R A M E S

Shortstop

43/17/120 • 45/17/125

Spring Hinges

BLACK

BLUE

ANT BROWN

Kendall

45/17/130

Spring Hinges

BLACK

BROWN

NAVY

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C H I L D R E N ' S F R A M E S

BLACK/CRYSTAL

BLUE/ROSE

BURGUNDY/BLUE

Bashful

42/16/130

Spring Hinges

BLACK

BROWN/ROSE

TORTOISE FADE

Bronx

46/18/130

Spring Hinges

MP81

38/15/140

Spring Hinges • Cable Temples

BLUE

BROWN

BLUE

BROWN

TORTOISE

Peewee

36/14/115 • 38/14/120

Spring Hinges

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C H I L D R E N ' S F R A M E S

KHAKI

ORANGE

Rascal

43/16

Flexible • Safe

Available colors:

100

Ice

102

Pink

103.1

Ice Blue

106

Watermelon Red

111

Charcoal

115

Khaki

116

Orange

117

Plum

109

Denim

110

Root Beer

ICE BLUE

STRAWBERRY ICE

Itsy Bitsy

30/13

Flexible • Safe

Available colors:

100

Ice

101

Strawberry Ice

102

Pink

103

Turquoise Ice

103.1

Ice Blue

104

Blue

105

Yellow

106

Watermelon Red

107

Green

108

Lavender

109

Denim

110

Root Beer

BLUE

YELLOW

Teeny Weeny

35/14

Flexible • Safe

Available colors:

GREEN

PINK

Toddler

40/15

Flexible • Safe

Available colors:

100

Ice

101

Strawberry Ice

102

Pink

103

Turquoise Ice

103.1

Ice Blue

104

Blue

105

Yellow

106

Watermelon Red

107

Green

108

Lavender

111

Charcoal

117

Plum

109

Denim

110

Root Beer

100

Ice

101

Strawberry Ice

102

Pink

103

Turquoise Ice

103.1

Ice Blue

104

Blue

105

Yellow

106

Watermelon Red

107

Green

108

Lavender

111

Charcoal

117

Plum

109

Denim

110

Root Beer

Solo Bambini frames on this page require prior authorization.

ROOT BEER (44/16)

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C H I L D R E N ' S F R A M E S

DENIM

PEONY

Scout

45/18

Flexible • Safe

Available colors:

RED

Scout Master

55/22

Flexible • Safe

Available colors:

100

Ice

106

Watermelon Red

111

Charcoal

112

Forest

113

Red

114

Peony

109

Denim

110

Root Beer

100

Ice

111

Charcoal

112

Forest

113

Red

109

Denim

110

Root Beer

FOREST

ICE

Eagle Scout

50/20

Flexible • Safe

Available colors:

100

Ice

102

Pink

111

Charcoal

112

Forest

113

Red

109

Denim

110

Root Beer

TURQUOISE ICE (38/14)

PLUM (42/15)

Rookie

38/14 • 42/15 • 44/16

Flexible • Safe

Available colors:

100

Ice

101

Strawberry Ice

102

Pink

103

Turquoise Ice

103.1

Ice Blue

104

Blue

105

Yellow

106

Watermelon Red

107

Green

108

Lavender

111

Charcoal

117

Plum

109

Denim

110

Root Beer

Solo Bambini frames on this page require prior authorization.

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Jayme

41/18/120

Flexible Frame

LIGHT BROWN MATTE

NAVY

PLUM

Jim

54/18/140

Flexible Frame • Color not shown: GUNMETAL

GOLD

SATIN BROWN

Paige

46/20/135

Flexible Frame

BROWN

GUNMETAL

WINE

Josh

49/18/135

Flexible Frame • Color not shown: ANTIQUE BLUE

BLACK

COFFEE

S P E C I A L T Y F R A M E SSpecialty frames may require authorization.

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S P E C I A L T Y F R A M E SSpecialty frames may require authorization.

Eye Size DBL Temple

44 20 or 23 Adjustable

47 20 or 23 Adjustable

50 20 or 23 Adjustable

53 23 Adjustable

BLACK

Not Shown: BLUE W/WHITE BRIDGE, BROWN W/TAN BRIDGE, WHITE, GRAY W/BLACK

BRIDGE, RED W/BLACK BRIDGE, RED W/WHITE BRIDGE

All American

See Frame Sizing Below

Durable, Athletic Frame • Adjustable Strap • Colors not shown: See below

Apollo

See Frame Sizing Below

Durable Frame

BLACK

Eye Size DBL Temple

42 18, 20, 22 130, 135, 140, 145, 150

44 18, 20, 22 130, 135, 140, 145, 150

46 20 or 22 130, 135, 140, 145, 150

48 20 or 22 130, 135, 140, 145, 150

50 20, 22, 24 130, 135, 140, 145, 150

52 20, 22, 24 130, 135, 140, 145, 150

Stan

54/18/140

Flexible Frame

COFFEE

GOLD

GUNMETAL

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S A F E T Y F R A M E S

BROWN

GREY

BROWN

SMOKE

TAN

SC 900

52/14/140 • 54/14/145 • 56/15/150

Durable Z87 Rating • Available with Side Shields

SP 83

50/20/140 • 52/20/145 • 54/20/150

Durable Z87 Rating • Available with Side Shields

Specialty frames may require authorization.

DISCONTINUEDDISCONTINUED

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G E N E R A L I N F O R M A T I O N

PRICING FOR QUALIFIED CLIENTS (Continued)

Options Pricing

Slab off prism, plastic (per lens) $20.00

Lenticular (per pair) $30.00

Press-on Fresnel Prism (per lens) $20.00

Prism over 3 Diopters - Add per Diopter (per lens) $1.50

Mid Index (per pair) $40.00

High Index (per pair) $50.00

Polycarbonate lens (per pair) $30.00

Progressive lens- Added to trifocal price (per pair) $75.00

Photochromatic (brown or gray) (per pair) $50.00

Polarized (brown or gray) (per pair) $75.00

Antireflective coating (per pair) $40.00

Fashion Tints:

Tint - solid (per pair) $5.00

Tint - gradient (per pair) $6.00

Tint - double gradient (per pair) $8.00

U-V lens coating (per pair) $6.00

Tint and U-V (2 or higher) (per pair) $11.00

Non-allergenic frame coating $10.00

Pattern fee for patient's own frame (per pair) $20.00

WARRANTY

It is the policy of Washington State Correctional Industries (CI) to provide its customers with products and services that conform to their specifications and quality requirements. CI's goal is to achieve a constant high standard of quality while maintaining economical operations.

All CI optical products are covered by a limited warranty as follows:• Lenses are warranted for 90 days against manufacturer defect

only. Lenses are NOT warranted against scratches.• Due to time, exposure to elements and concealed damage working

with patients own frame can be unpredictable. CI Optical does not accept responsibility for any outside frames sent in.

• CI Optical frames are warranted for one year against manufacturer defect only.

• Reworks due to doctor or dispenser errors, or patient satisfaction, are provided at no cost for the first rework within the first 90 days of original order and are billed at 100% thereafter. This only applies to adult orders. All physician requested reworks filled for non-provider billed prescriptions are billed to the provider at 100% of the HCA contract price. All lab errors are reworked at no cost to the provider.

PRICING FOR QUALIFIED CLIENTS

Frame Pricing

Standard frames $10.00

Safety frames $25.00

Specialty frames $60.00

Package Pricing

Single Vision Base Package:

Standard Frame $10.00

Left Single Vision $6.00

Right Single Vision $6.00

Total $22.00

Bifocal Base Package:

Standard Frame $10.00

Left Bifocal $11.00

Right Bifocal $11.00

Total $32.00

Trifocal Base Package:

Standard Frame $10.00

Left Trifocal $16.00

Right Trifocal $16.00

Total $42.00

Single Vision Specialty Package:

Durable or Flexible Frame $60.00

Left Single Vision $6.00

Right Single Vision $6.00

Total $72.00

Bifocal Specialty Package:

Durable or Flexible Frame $60.00

Left Bifocal $11.00

Right Bifocal $11.00

Total $82.00

Trifocal Specialty Package:

Durable or Flexible Frame $60.00

Left Trifocal $16.00

Right Trifocal $16.00

Total $92.00

Department of CorrectionsPO Box 41115Olympia, Washington 98504

CI OPTICAL CUSTOMER CARE

[email protected]

TOLL FREE — 888.606.7788

FAX — 888.606.7789

700-CA009 (R 12/2019)