optical frame selection guide - home -- washington state correctional...
TRANSCRIPT
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
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
TOLL FREE — 888.606.7788
FAX — 888.606.7789
700-CA009 (R 12/2019)