NCCI Gardner Optical PO Box Colony Road Gardner, MA Phone: Fax:

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1 NCCI Gardner Optical PO Box Colony Road Gardner, MA Phone: Fax:

2 ORDER PLACEMENT: All orders must be placed online by MassHealth Providers using the MassCor optical ordering system. Each order should be placed using the correct order type (i.e. New Order, Replacement Order, Change Order etc.). The link for the MassCor optical ordering system is: To set up an account, please call Inquires about all orders may be made online using the search order option on the homepage. Telephone orders cannot be accepted. CONTACT US: Please have the Member Identification Number and VEM number available when calling in regards to an order. Customer Service may be reached at Our office hours are 9:00 AM - 4:00 PM Eastern Standard Time; Monday through Friday. MAILING/FAX: Use this address when shipping UPS/Fedex: MassCor Optical Laboratories MassCor Optical Laboratories P.O. Box Colony Road Gardner, MA Gardner, MA Fax: BILLING: All approved Vision Care Materials purchased under the program will be billed by MassCor directly to the Commonwealth of Massachusetts. Providers will remain responsible for billing the Commonwealth for their professional services. See the MassHealth Provider Manual for the applicable regulations. LAB ERRORS: All Lab Errors must be reported online within 21 days of the order s shipped date using the Report Lab Error, link on the MassCor homepage. All lab errors must be returned to MassCor for inspections within 9 days of the reported date. LENS AVAILABILITY: Lens material may be ordered in CR39 or polycarbonate. The lens types available are single vision or bifocal: flat top 28 or round 22mm. Plastic material; single vision lenses can be made into maximum spheres of +/- 20 diopters. NOTE: Any sphere over +10 diopters may need to be made in lenticular plastic and anything less than -10 diopters may need to be made in hi-index plastic material. Hi-Index requires a prior authorization. Bifocal add powers range from +.75 to diopters in +.25 increments, add power is not available. The maximum combined power for bifocals are +/-10 diopters. Lenticular aspheric is only available in CR39 material and bifocal lens type round seg only. Polycarbonate material; single vision and bifocal maximum combined power lenses are +/-10 diopters. Cylinder powers available up to +/ diopters. Bifocals made in polycarbonate material are only available in flat top 28. Bifocal add powers range from +.75 to diopters in +.25 increments, add power is not available. Please refer to your MassHealth Provider Manual for all items that will require Prior authorization.

3 Sample Frames Massachusetts Vision Care Providers may purchase Contract frames for display and fitting of patients. Two sample frame kits (listed below) contain all the NEW* frame styles available at a discounted price: Kit #1-44 Piece Frame Kit: Includes ALL colors and sizes of each NEW frame available. 44 Piece kit $642.12, now available at the discounted cost of $ plus $12.75 for postage and handling. Kit #2-21 Piece Frame Kit: Includes ALL NEW frames and eye sizes available but ONLY 1 color per frame style (colors are assorted where applicable). 21 Piece kit $305.89, now available at the discounted cost of $ plus $8.25 for postage and handling. ***MassCor is offering FREE shipping on KITS ONLY if prepaid in full with a credit card at the time of the order. Please make note of this on your order and MassCor will contact you for payment information.*** UPS will not ship to Post Office Boxes Postage and Handling Charges (subject to change): 1-12 frames $ frames $ frames $11.25 Over 38 frames $12.75 COST OF EACH FRAME Plastic - $15.17 each. Metal - $8.83 each. Memory Metal (Flex) $15.17 each. Please note: There are no Temple Changes

4 Table of Contents Adult Plastic Frame Collection Adult Metal Frame Collection Youth Metal Frame Collection Youth Plastic Frame Collection Pages 1-5 Pages 6-10 Pages Pages DC 50 MH 7205 US Youth W 7771 MH U 33 DC 71 Sophia US56 Senior Evan Rikki US 53 T 30 University Student EN3903 EN3904 PT PT 78 FX 30 FX 28 VS 502 PT 48 PT 41 FX VP 30 Golden FX104 VP Palace PT 53 PT 61 PT 62 T 18 FX 2 PT 83 PT 67 VS 506 LG 6045 EN3923 T 25 T 17 LG 6044 Mainstreet 415 Pupil T 15 T 19 T 24 T 27 T 28 T 29 EN3908 Half Eye Half Eye PT 59 Looker Overlook

5 Plastic Frames DC 50 COLORS:Black 53/17/140 Brown MH 7205 COLORS:Brown 53/17/140 Onyx US 60 COLORS:Black 52/18/140 Grey 7781 COLORS:Greyfade 52/18/140 Brownfade 54/18/145 1 Youth COLORS:Blue 47/15/125 Black 1

6 Plastic Frames W 7771 COLORS: Bordeaux 54/19/145 Coffee MH 7202 COLORS: Black Crystal 50/16/140 Khaki 5675 COLORS: Brown Marble 50/17/135 Lilac Marble 52/17/140 54/17/140 U 33 COLORS: Mauve 50/15/140 Black 2

7 Plastic Frames DC 71 COLORS: Black/Red 51/17/140 Brown Sophia COLORS: Black 50/20/135 Brown US56 COLORS: Brown 51/18/135 Grey Senior COLORS:Tortoise 53/20/145 Burgandy Evan COLORS: Brown 55/17/140 Black 3

8 Plastic Frames Rikki COLORS: Black 51/17/140 Brown US 53 COLORS:Black/Crystal 51/19/140 Wine Wide Temple T 30 COLORS: Black 48/16/ Hinge Brown University COLORS: Tort 52/20/145 Black Student COLORS: Black 46/18/130 Brown 48/18/135 4

9 Plastic Frames EN3903 COLORS: Cobalt 49/16/135 Azure Brown Black EN3904 COLORS: Black Fade 54/17/145 Brown EN3908 COLORS: Brown 54/15/145 Cobalt Plastic Half Eyes Looker COLORS: Brown Fade 50/22/145 Demi Amber Grey Amber Grey Fade Blue Fade 5 Overlook COLORS: Grey Fade 50/20/140 Grey Amber Brown Fade Demi Amber

10 Metal Frames PT 36 COLORS: Antique Brown 52/18/135 Gunmetal 54/18/ COLORS: Black 53/16/140 Gunmetal 57/16/145 PT 78 COLORS:Black 53/19/145 Brown FX 30 COLORS:Coffee 54/18/145 Gold Memory Metal 6

11 Metal Frames FX 28 COLORS: Coffee 52/18/145 Gunmetal Memory Metal VS 502 COLORS: Black 54/20/150 Gold PT 48 COLORS: Gold 56/19/145 Gunmetal 60/19/150 PT 41 COLORS: Black/Gold 53/19/135 Demi Amber FX 33 COLORS: Gunmetal 47/19/125 Ink Memory Metal 7

12 Metal Frames 7710 COLORS: Burgandy 50/18/140 Coffee 7719 COLORS: Coffee 54/19/145 Gunmetal 56/19/145 60/19/150 Now offered in 3 sizes VP 30 COLORS: Coffee 50/18/135 Pink Golden COLORS: Black 49/20/140 Coffee 51/20/145 8

13 Metal Frames FX104 COLORS: Black 55/19/145 Gunmetal Memory Metal VP 19 COLORS: Black 47/21/ Hinge Coffee 7722 COLORS: Coffee 48/19/135 Gunmetal Palace COLORS: Coffee 49/19/145 Gunmetal 9

14 Metal Frames PT 53 COLORS: Black 49/18/145 Burgandy PT 61 COLORS: Coffee 46/19/140 Gold 48/19/145 PT 62 COLORS: Coffee 45/19/135 Silver 47/19/140 Metal Half Eyes PT 59 COLORS: Gunmetal 50/20/140 Coffee 10

15 Youth Collection

16 Metal Youth Frames T 18 COLORS: Pink 44/17/125 Purple FX 2 COLORS: Coffee 44/21/135 Black Memory Metal PT 83 COLORS: Denim 40/18/120 Pink 42/18/125 PT 67 COLORS: Coffee 44/16/125 Denim 11

17 Metal Youth Frames VS 506 COLORS: Black 41/17/130 Coffee LG 6045 COLORS: Blue 36/15/125 Pink 38/15/125 Plastic Youth Frames EN3923 COLORS: Burgundy 46/17/135 Cobalt T25 COLORS: Pink 46/16/130 Purple T17 COLORS: Pink 45/18/135 Purple 12

18 Plastic Youth Frames LG 6044 COLORS: Blue 34/18/115 Pink 36/18/115 Mainstreet 415 COLORS: Light Blue 33/20/115 Light Brown 36/20/120 Pink 39/20/125 Pupil COLORS: Black 44/18/140 Tortoise T 15 COLORS: Black/Red 46/17/130 Brown T 19 COLORS: Black 45/18/125 Brown 13

19 Plastic Youth Frames T 24 COLORS: Blue 45/17/130 Black T 27 COLORS: Pink 37/15/ Hinge Denim T 28 COLORS: Brown 42/15/ Hinge Blue T 29 COLORS: Wine 43/15/ Hinge Black 14

20 PAGE# AGE / GENDER STYLE / MATERIAL FRAME NAME EYE SIZE 13 Youth Plastic Mainstreet Youth Plastic LG Youth Metal LG Youth Plastic LG Youth Plastic Mainstreet Youth Plastic T Youth Metal LG Youth Plastic Mainstreet Youth Metal PT Youth Metal VS Youth Plastic T Youth Metal PT Youth Plastic T Youth Metal T Youth Memory Metal FX Youth Plastic Pupil Youth Metal PT Youth Plastic T Youth Plastic T Youth Plastic T Youth/Adult Metal PT Youth/Adult Metal PT Youth Plastic T Youth Plastic EN Youth Plastic T Youth/Adult Plastic Student Adult/Youth Metal PT Adult Metal VP Adult Memory Metal FX Adult Plastic Youth 47 9 Adult Metal Adult/Youth Metal PT Adult/Youth Plastic Student 48 4 Adult Plastic T Adult Metal Golden 49 9 Adult Metal Palace Adult Metal PT Adult Plastic EN Adult/Half Eye Metal PT Adult/Half Eye Plastic Looker 50

21 PAGE# AGE / GENDER STYLE / MATERIAL FRAME NAME EYE SIZE 5 Adult / Half Eye Plastic Overlook 50 2 Adult Plastic MH Adult Metal Adult Metal VP Adult Plastic Sophia 50 2 Adult Plastic Adult Plastic U Adult Plastic Rikki 51 3 Adult Plastic DC Adult Plastic US Adult Metal Golden 51 3 Adult Plastic US Adult Metal PT Adult Plastic Adult Memory Metal FX Adult Plastic US Adult Plastic Adult Plastic University 52 6 Adult Metal Adult Plastic Senior 53 6 Adult Metal PT Adult Plastic DC Adult Plastic MH Adult Metal PT Adult Metal Adult Metal PT Adult Metal VS Adult Plastic W Adult Plastic Adult Memory Metal FX Adult Plastic EN Adult Plastic EN Adult Plastic Adult Plastic Evan 55 9 Adult Memory Metal FX Adult Metal PT Adult Metal Adult Metal Adult Metal Adult Metal PT 48 60

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