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Submitted URL: https://e.glasses.com/pub/cc?_ri_=X0Gzc2X%3DAQpglLjHJlYQGlMmD9fy20uo9Uh4hvC2qtgAXqzeDLwzgW8qeucfCszgewyngywMlftatkVXtp...
Effective URL: https://www.glasses.com/gl-us/polo-ralph-lauren/8056597110433?cid=CM-ENL_20211215-GLFlashSale3_10407905
Submission: On December 21 via manual from IN — Scanned from DE
Effective URL: https://www.glasses.com/gl-us/polo-ralph-lauren/8056597110433?cid=CM-ENL_20211215-GLFlashSale3_10407905
Submission: On December 21 via manual from IN — Scanned from DE
Form analysis
9 forms found in the DOMName: personalInfo — POST
<form class="form-insurance" method="post" id="personalInfo" name="personalInfo" novalidate="novalidate">
<div class="insurance-column-middle">
<div class="insurance-modal-container-column-left_middle">
<label class="gl-typeahead-label input-label" for="insuranceProvider">Select or type your insurance provider</label>
<div class="gl-typeahead" data-source="insuranceProvidersList">
<input type="text" class="gl-typeahead-select" name="insuranceProviderSelect" aria-required="true" maxlength="50" tabindex="0" title="Select provider" placeholder="Select provider" autocomplete="off">
<input type="hidden" class="gl-typeahead-value" id="insuranceProvider" name="insuranceProvider">
<span class="gl-typeahead-arrow"><i class="fa fa-chevron-down"></i></span><span class="gl-typeahead-clean" style="display: none;"><i class="fa fa-times"></i></span><span class="gl-typeahead-check" style="display: none;"
tabindex="0"><i class="fa fa-check"></i></span>
<div class="gl-typeahead-box"><span>Eyemed</span><span>Davis Vision</span><span>Superior Vision</span><span>NVA – National Vision Administrators</span>
<hr><span>Aetna Vision Preferred</span><span>AllWays Health Partners</span><span>Ameritas </span><span>Anthem Blue View Vision</span><span>BCBS of Illinois</span><span>BCBS of Kansas</span><span>BCBS of Louisiana</span><span>BCBS of
Massachusetts- Blue 20/20</span><span>BCBS of Minnesota</span><span>BCBS of Montana</span><span>BCBS of New Mexico</span><span>BCBS of North Carolina - Blue 20/20</span><span>BCBS of Oklahoma</span><span>BCBS of South Carolina - Healthy
Vision</span><span>BCBS of Tennessee - VisionBlue</span><span>BCBS of Texas</span><span>BCBS of Wyoming</span><span>BCBS Rhode Island BlueCross Vision</span><span>BCBS Kansas City - Blue Vue</span><span>BCS Financial</span><span>BEST Life
and Health Insurance Company</span><span>Blue Cross Blue Shield FEP Vision</span><span>Blue Shield of NE New York</span><span>Care N Care Insurance Company</span><span>CareFirst</span><span>CareSource </span><span>Companion Life
Vision</span><span>CREATE</span><span>Delta Dental Arkansas</span><span>Delta Dental of Missouri</span><span>Delta Dental of New Mexico</span><span>DeltaVision Arizona</span><span>DeltaVision Illinois</span><span>DeltaVision
Iowa</span><span>DeltaVision Minnesota</span><span>DeltaVision Northeast</span><span>DeltaVision Puerto Rico</span><span>DeltaVision Wisconsin</span><span>Dental Select</span><span>Dentist
Direct</span><span>EmblemHealth</span><span>Envolve Vision</span><span>Fallon Community Health Plan</span><span>Florida Blue</span><span>GEHA</span><span>Group Vision Service</span><span>Health New England</span><span>Health Plan of
Nevada</span><span>HealthMarkets</span><span>Healthnow New York</span><span>Highmark Blue Edge</span><span>HighMark Blue Vision</span><span>Horizon Vision</span><span>Humana Vision</span><span>Independence Blue
Cross</span><span>Independent Health</span><span>IU Health Plans</span><span>Magnacare Vision</span><span>Medical Mutual Vision Plan</span><span>Mutual of Omaha</span><span>MVP Health Plan, Inc.</span><span>Nippon</span><span>Oscar Health
Insurance</span><span>Priority Health</span><span>SelectHealth</span><span>Sentara</span><span>Solstice Health Plans</span><span>Starmount</span><span>Surency Vision</span><span>United Concordia</span><span>UNUM Vision
Insurance</span><span>USHealth Group Premier Vision</span>
</div>
</div>
</div>
<div class="clear"></div>
<div class="insurance-modal-container-column-left_middle">
<div class="insurance-input-container">
<div class="input-x-container">
<label class="input-label">First Name</label>
<input aria-required="true" type="text" maxlength="32" tabindex="0" id="firstNameInsurance" title="Insurance first name" class="input-common input-white blur" name="firstNameInsurance" autocomplete="off">
<span class="iconglasses-x"></span>
</div>
<div class="line line-checkout"></div>
</div>
<div class="insurance-input-container">
<div class="input-x-container">
<label class="input-label">Last Name</label>
<input aria-required="true" type="text" maxlength="32" tabindex="0" id="lastNameInsurance" title="Insurance last name" class="input-common input-white blur" name="lastNameInsurance" autocomplete="off">
<span class="iconglasses-x"></span>
</div>
<div class="line line-checkout"></div>
</div>
</div>
<div class="insurance-modal-container-column-right_middle">
<div class="insurance-input-container">
<div class="input-x-container">
<label class="input-label">Date of birth</label>
<input aria-required="true" class="input-common input-white blur" tabindex="0" id="dateBirth" name="dateBirth" title="Insurance date of birth" type="text" maxlength="10">
<span class="iconglasses-x"></span>
</div>
<div class="line line-checkout"></div>
</div>
<div class="insurance-input-container">
<div class="input-x-container">
<label class="input-label">Zip code or SSN (last 4)</label>
<input aria-required="true" class="input-common input-white blur" tabindex="0" name="zip_input" id="zip_input" title="Insurance zipcode or SSN (last 4)" maxlength="5" type="text" oninput="process(this)">
<span class="iconglasses-x"></span>
</div>
<div class="line line-checkout"></div>
</div>
</div>
<div class="clear-both"></div>
</div>
<input type="hidden" id="storeId" name="storeId" value="15951">
<input type="hidden" name="catalogId" value="22101">
<input type="hidden" name="langId" value="-1">
<input type="hidden" name="infoForm" value="personal">
<input type="hidden" id="insuranceRequestTimeout" name="requestTimeout" value="30000">
<div id="error-no-user" class="error-container-1" tabindex="0" aria-label="OOPS! LOOKS LIKE WE'RE HAVING TROUBLE FINDING YOU.">
<p class="error-top">OOPS! LOOKS LIKE WE'RE HAVING TROUBLE FINDING YOU.</p>
<p class="error-bottom">Make sure the information you entered matches your insurance plan, or add a few more details to help us find you.</p>
</div>
<div id="error-timeout" class="error-container-1" tabindex="0" aria-label="OOPS! LOOKS LIKE WE'RE HAVING TROUBLE FINDING YOU.">
<p class="error-top">OOPS! LOOKS LIKE WE'RE HAVING TROUBLE FINDING YOU.</p>
<p class="error-bottom">Due to a technical problem, we're having trouble retrieving this information. Please try again in 5 minutes.</p>
</div>
<div id="error-no-benefits" class="error-container-1" tabindex="0" aria-label="OOPS! LOOKS LIKE THERE ARE NO BENEFITS TO APPLY.">
<p class="error-top">OOPS! LOOKS LIKE THERE ARE NO BENEFITS TO APPLY.</p>
<p class="error-bottom">We found your insurance but unfortunately it looks like your plan doesn't have benefits to apply, or that you might not be eligible. Have a check with your insurance provider.</p>
</div>
<div class="error-container-2" tabindex="0" aria-label="SORRY, TOO MANY FAILS">
<p class="error-top">SO SORRY, TOO MANY FAILS</p>
<p class="error-middle">For your security, we've temporarily locked the insurance look up.</p>
<p class="error-bottom">You may try again in 5 minutes.</p>
<p class="text-black mt-15"> If you need additional support or assistance, please contact us at you can contact the customer service at 1-800-GLASSES (800-452-7737) or send an email to
<a href="mailto:info@glasses.com" title="Glasses customer service">info@glasses.com</a>, and they will help you as best they can. </p>
</div>
<div class="input-plan-member-container hide">
<div class="input-plan-container">
<div class="input-x-container">
<label class="input-label">Insurance Plan ID</label>
<input aria-required="true" type="text" maxlength="32" id="planID" title="Insurance Plan ID" class="input-common input-white blur" name="planID">
<span class="iconglasses-x"></span>
</div>
<div class="line line-checkout"></div>
</div>
<div class="input-member-container">
<div class="input-x-container">
<label class="input-label">Insurance Member ID</label>
<input aria-required="true" type="text" maxlength="32" id="memberID" title="Insurance Member ID" class="input-common input-white blur" name="memberID">
<span class="iconglasses-x"></span>
</div>
<div class="line line-checkout"></div>
</div>
</div>
<div class="insurance-modal-container-button">
<div class="insurance-modal-container-submit">
<button type="reset" class="regSubmit tps_btn tps_btn-small tps_btn-violet-outline" id="button-cancel-insurance" aria-label="Cancel">Cancel</button>
<button class="tps_btn tps_btn-small tps_btn-violet" id="personal-info-submit" aria-label="Try again">Submit</button>
</div>
</div>
</form>
<form class="nm-form" id="nm-form" novalidate="novalidate">
<input name="preregister" type="hidden" value="true">
<input name="addressType" type="hidden" value="M">
<input name="lcGeneralEmailOptIn_15951_r_1" type="hidden" value="true">
<input name="ageCheck_15951_r_1" type="hidden" value="true">
<input name="canAddOrigin" type="hidden" value="true">
<input name="optinStatus" type="hidden" value="true">
<input name="URL" type="hidden" value="SuccessView">
<input name="storeId" type="hidden" value="15951">
<input name="langId" type="hidden" value="-1">
<input name="emailType" type="hidden" value="NewsletterModal">
<input name="showRegister" type="hidden" value="true">
<div class="nm-form-visible-container">
<div class="input-x-container tps_bg_color-white utagpiimask">
<label class="input-label">E-MAIL ADDRESS</label>
<input aria-required="true" class="input-common input-white error" aria-label="E-MAIL ADDRESS" name="email" aria-invalid="true">
</div>
<div class="nm-error"></div>
<button class="tps_btn tps_btn-small tps_btn-violet mt-15" id="nm-button" data-element-id="X_X_OverlayRWD_Newsletter_Signup" style=""><i class="fa fa-spinner fa-spin"></i> JOIN NOW </button>
</div>
</form>
Name: userRegFormLanding —
<form id="userRegFormLanding" name="userRegFormLanding" novalidate="novalidate">
<input type="hidden" name="storeId" value="15951"> <input type="hidden" name="catalogId" value="22101"> <input type="hidden" name="langId" value="-1"> <input type="hidden" name="errorViewName" value="UserRegistrationAddAjaxView"> <input
type="hidden" name="URL" value="" id="CreateAccountURL"> <input type="hidden" name="URL_AccountPersonalization" value="" id="URL_AccountPersonalization"> <input type="hidden" name="challengeQuestion" value="-"> <input type="hidden"
name="challengeAnswer" value="-">
<input type="hidden" name="account" value="">
<input type="hidden" name="accountType" value="1">
<input type="hidden" name="myPerkName" value="">
<input type="hidden" name="fromPage" value="RegistrationLanding">
<div class="create-email-container">
<div class="input-x-container utagpiimask">
<label class="input-label">Email</label>
<input aria-required="true" type="text" maxlength="64" name="logonId" class="logonId_landing input-common input-white" id="logonId_landing" value="" title="Create email address">
<span class="iconglasses-x"></span>
</div>
<div class="line"></div>
</div>
<div class="create-password-container">
<div class="input-x-container">
<label class="input-label">Password</label>
<input aria-required="true" type="password" autocomplete="off" maxlength="32" name="logonPassword" class="logonPassword_landing passwordField input-common input-white" id="logonPassword_landing" value="" title="Create password">
<div class="show-password-icon-container">
<a href="javascript:void(0)" aria-label="Show/Hide password" onclick="showHidePassword();" class="wcag-trigger-click">
<div class="iconglasses-icon-hidden-password hidden-password-icon" id="hidden-password" title="Show password"></div>
<div class="iconglasses-icon-visible-password" id="visible-password" style="display:none;"></div>
</a>
</div>
</div>
<div class="line"></div>
<i class="arrow-before hidden"></i>
<i class="arrow-after hidden"></i>
<div class="tooltip-box hidden" data-tooltip="Password must be at least 6 characters, have one capital letter and one number."></div>
</div>
<div class="fe create-checkbox-container no-service-messages">
<div class="check newsletter" style="padding-top: 17px;" tabindex="0">
<input checked="" class="checkbox" type="checkbox" name="receiveEmail" id="receiveEmail">
<div class="iconglasses-icon-checked order-shipping-checkbox">
<span class="path1"></span><span class="path2"></span>
</div>
<label for="receiveEmail" class="unregisteredCheckbox label_check"> Send me promotions and offers by email </label>
</div>
<div class="newsletter-disclaimer-container">
<p class="newsletter-disclaimer-label"> Sign up to receive news and exclusive offers from Glasses.com. You can withdraw consent at any time. For more details see our <a href="/gl-us/privacy-policy">Privacy Policy</a>. I certify that I am 13
years or older. </p>
</div>
</div>
<div class="fe create-messages-container">
<span class="RegSuccessFullResponseMessageDiv"></span>
<span class="RegFailureResponseMessageDiv"></span>
</div>
<div class="fe buttons">
<button href="" class="tps_btn tps_btn-small tps_btn-violet-outline regSubmit" aria-label="Create account"> Create account </button>
<!-- <div class="new-button blue inline orange">
<input type="button" value="create account" class="submit regSubmit" />
</div> -->
</div>
</form>
Name: LogonForm —
<form name="LogonForm" id="LogonForm" class="LogonForm" onsubmit="logonFormSubmit($(this)); return false;">
<input name="storeId" value="15951" type="hidden">
<input name="catalogId" value="22101" type="hidden">
<input name="langId" value="-1" type="hidden">
<input name="errorViewName" type="hidden" value="LogonAjaxView">
<input name="reLogonURL" type="hidden" value="LogonAjaxView">
<input name="myPerksRedirectURL" type="hidden" value="">
<input name="URL" type="hidden" value="">
<input type="hidden" name="myPerkName" value="">
<input type="hidden" name="fromPage" value="RegistrationLanding">
<div class="login-email-container">
<div class="input-x-container utagpiimask">
<label class="input-label">Email</label>
<input aria-required="true" id="emailAddress" name="logonId" type="text" maxlength="64" class="input-common input-white" title="Sign in email address">
<span class="iconglasses-x"></span>
</div>
<div class="line"></div>
</div>
<div class="login-password-container">
<div class="input-x-container">
<label class="input-label">Password</label>
<input aria-required="true" name="logonPassword" id="logonPasswordLanding" class="passwordField input-common input-white" type="password" autocomplete="off" maxlength="32" title="Sign in password">
<span class="iconglasses-x"></span>
</div>
<div class="line"></div>
</div>
<div class="login-forgot-password-container no-service-messages">
<a href="javascript:void(0)" class="sign-in-link" id="forgotPassword" onclick="showResetPasswordModal();">Forgot your password?</a>
</div>
<div class="login-messages-container">
<span class="required LogOnFailureResponseMessageDiv" aria-live="assertive"></span>
</div>
<div class="fe buttons US">
<button id="logonSubmit" class="tps_btn tps_btn-small tps_btn-violet logonSubmit submit" aria-label="Sign in"> Sign in </button>
</div>
</form>
Name: ResetPasswordForm —
<form name="ResetPasswordForm" id="ResetPasswordForm">
<input type="hidden" name="challengeAnswer" value="-" id="WC_PasswordResetForm_FormInput_challengeAnswer_In_ResetPasswordForm_1">
<input type="hidden" name="storeId" value="15951" id="WC_PasswordResetForm_FormInput_storeId_In_ResetPasswordForm_1">
<input type="hidden" name="catalogId" value="22101" id="WC_PasswordResetForm_FormInput_catalogId_In_ResetPasswordForm_1">
<input type="hidden" name="langId" value="-1" id="WC_PasswordResetForm_FormInput_langId_In_ResetPasswordForm_1">
<input type="hidden" name="state" value="passwdconfirm" id="WC_PasswordResetForm_FormInput_state_In_ResetPasswordForm_1">
<input type="hidden" name="URL" value="ResetPasswordAjaxView" id="WC_PasswordResetForm_FormInput_URL_In_ResetPasswordForm_1">
<input type="hidden" name="errorViewName" value="ResetPasswordAjaxView" id="WC_PasswordResetForm_FormInput_errorViewName_In_ResetPasswordForm_1">
<input type="hidden" name="currentID" value="" id="currentID">
<div class="fe">
<div class="input-x-container">
<label class="input-label">Email</label>
<input aria-required="true" size="25" type="text" name="logonId" id="WC_PasswordResetForm_FormInput_logonId_In_ResetPasswordForm_1" class="input-common input-white" tabindex="0" maxlength="64" title="Forgot password email address">
<span class="iconglasses-x"></span>
</div>
<div class="line"></div>
<div id="ResetPasswordSuccessFullResponseMessageDiv" class="successMessageEmail"></div>
<div id="ResetPasswordFailureResponseMessageDiv" class="dialog"></div>
<div id="ResetPasswordErrorMsg" style="display:none">We do not have a record of a registered customer with that email address. Enter another email address and try again.</div>
<div class="ResetPasswordSuccessMsg" style="display:none;"> An email has been sent to: <span class="emailId">{0}</span><br> with the instructions to reset your password. Check your inbox or junk mail. </div>
</div>
<div class="fe buttons">
<!-- <div class="center-align"> -->
<button id="passwordResetSubmitButton" class="tps_btn tps_btn-violet"> SUBMIT </button>
<!-- </div> -->
</div>
</form>
Name: ResetPasswordUpdateSubmitForm — POST ResetPassword
<form name="ResetPasswordUpdateSubmitForm" method="post" id="ResetPasswordUpdateSubmitForm" action="ResetPassword">
<input type="hidden" name="storeId" value="15951" id="WC_PasswordUpdateForm_FormInput_storeId_In_Logon_1">
<input type="hidden" name="catalogId" value="22101" id="WC_PasswordUpdateForm_FormInput_catalogId_In_Logon_1">
<input type="hidden" name="langId" value="-1" id="WC_PasswordUpdateForm_FormInput_langId_In_Logon_1">
<input type="hidden" name="URL" value="" id="WC_PasswordResetForm_FormInput_URL_In_ResetPasswordUpdateForm_1">
<input type="hidden" name="errorViewName" value="" id="WC_PasswordResetForm_FormInput_errorViewName_In_ResetPasswordUpdateForm_1">
<input type="hidden" name="formName" value="ResetPasswordUpdateSubmitForm">
<input type="hidden" name="isResetPasswordRequest" value="true">
<input type="hidden" name="challengeQuestion" value="-">
<input type="hidden" name="challengeAnswer" value="-">
<input type="hidden" name="autoPopulatedEmailHiddenDesktop" id="autoPopulatedEmailHiddenDesktop">
<input type="hidden" name="logonId" value="">
<div class="fe">
<div class="input-x-container">
<label class="input-label">Email</label>
<input id="WC_PasswordUpdateForm_FormInput_EmailAddress" name="logonId" type="text" maxlength="64" tabindex="1" class="input-common input-white" title="Email update password">
<span class="iconglasses-x"></span>
</div>
<div class="line"></div>
</div>
<div class="fe">
<div class="input-x-container">
<label class="input-label">Enter your temporary password</label>
<input size="25" type="password" autocomplete="off" maxlength="32" title="Password Old" name="logonPasswordOld" value="" id="WC_PasswordUpdateForm_FormInput_logonPasswordOld_In_Logon_1" class="input-common input-white">
<span class="iconglasses-x"></span>
</div>
<div class="line"></div>
</div>
<div class="fe">
<div class="input-x-container">
<label class="input-label">Enter your new password</label>
<input size="25" type="password" autocomplete="off" bundle="javax.servlet.jsp.jstl.fmt.LocalizationContext@f58547e4" maxlength="32" title="Password" name="logonPassword" value="" id="logonPassword_updateModel" class="input-common input-white">
<span class="iconglasses-x"></span>
</div>
<div class="line"></div>
</div>
<div class="fe">
<div class="input-x-container">
<label class="input-label">Re-enter your new password</label>
<input size="25" type="password" autocomplete="off" bundle="javax.servlet.jsp.jstl.fmt.LocalizationContext@f58547e4" maxlength="32" title="Confirm Password" name="logonPasswordVerify"
id="WC_PasswordUpdateForm_FormInput_logonPasswordVerify_In_Logon_1" class="input-common input-white" value="">
<span class="iconglasses-x"></span>
</div>
<div class="line"></div>
</div>
<div id="PasswordUpdateFailureResponseMessageDiv"></div>
<div class="fe submit">
<div class="inline">
<input type="submit" class="tps_btn tps_btn-violet" id="PasswordUpdateFormSubmitButton_contactPage" value="SUBMIT">
</div>
</div>
</form>
POST AjaxUserRegistrationUpdate
<form id="my-account-form" action="AjaxUserRegistrationUpdate" method="POST">
<input type="hidden" name="storeId" value="15951">
<input type="hidden" name="langId" value="-1">
<input type="hidden" name="catalogId" value="22101">
<input id="logon-id" type="hidden" name="logonId" value="">
<input type="hidden" name="URL" value="/">
<table class="my-account-table">
<tbody>
<tr class="my-account-table-row">
<td class="my-account-table-col">Email</td>
<td class="my-account-table-col utagpiimask">
<input id="email" class="my-account-form-input" type="email" value="" title="My account email" readonly="">
</td>
</tr>
<tr class="my-account-table-row">
<td class="my-account-table-col">Password</td>
<td class="my-account-table-col" colspan="2">
<div class="my-account-password">
<input class="my-account-form-input" id="my-account-password" type="password" placeholder="●●●●●●●●" title="My account password" readonly="">
<a href="#" onclick="editPassword('my-account-password',event);">Edit</a>
</div>
<div class="my-account-change-password">
<div class="my-account-edit-link-input">
<div class="password-input-container">
<div class="input-x-container">
<label class="input-label">Old Password</label>
<input aria-required="true" class="my-account-form-input input-common input-white blur required" id="oldPassword" name="logonPasswordOld" type="password" autocomplete="off" title="My account old password">
<span class="iconglasses-x" style="display: none;"></span>
</div>
<div class="line"></div>
</div>
<div class="password-input-container last-child">
<div class="input-x-container">
<label class="input-label">New Password</label>
<input aria-required="true" class="my-account-form-input input-common input-white blur required" id="newPassword" name="logonPassword" type="password" autocomplete="off" title="My account new password">
<span class="iconglasses-x" style="display: none;"></span>
<input type="hidden" name="logonPasswordVerify" id="logon-password-verify">
</div>
<div class="line"></div>
</div>
<div id="change-password-error-message" class="service-error-message-container"></div>
</div>
<div class="my-account-edit-link-button">
<button class="tps_btn tps_btn-violet-outline my-account-form-button" id="my-account-password-close" onclick="editPassword('my-account-password-close',event)">Cancel</button>
<button class="tps_btn tps_btn-violet my-account-form-button" id="my-account-password-save" onclick="editPassword('my-account-password-save',event)">Save</button>
</div>
</div>
</td>
</tr>
<tr class="my-account-table-row">
<td class="my-account-table-col">Date of Birth</td>
<td class="my-account-table-col" colspan="2">
<div class="my-account-birthday utagpiimask">
<input class="my-account-form-input" name="dateOfBirth" id="my-account-birthday" title="My account birthday" placeholder="" value="" readonly="">
<a href="#" onclick="changeBirthday('my-account-birthday',event);">Edit</a>
</div>
<div class="my-account-change-birthday">
<div class="my-account-edit-link-input">
<div class="birth-input-container last-child">
<div class="input-x-container">
<label class="input-label">Date of Birth</label>
<input aria-required="true" class="my-account-form-input input-common input-white blur js-formatDate-mmddyyyy required" name="birthday" id="birthday" type="text" title="My account new birthday">
<span class="iconglasses-x" style="display: none;"></span>
</div>
<div class="line"></div>
</div>
<div id="change-birthday-error-message" class="service-error-message-container"></div>
</div>
<div class="my-account-edit-link-button">
<button class="tps_btn tps_btn-violet-outline my-account-form-button" id="my-account-birthday-close" onclick="changeBirthday('my-account-birthday-close',event);">Cancel</button>
<button class="tps_btn tps_btn-violet my-account-form-button" id="my-account-birthday-save" onclick="changeBirthday('my-account-birthday-save',event);">Save</button>
</div>
</div>
</td>
</tr>
<tr class="my-account-table-row">
<td class="my-account-table-col"> </td>
<td class="my-account-table-col" colspan="2">
<input type="checkbox" name="sendEmail" id="sendEmail" class="sendEmail_checkBox my-account-form-checkbox" title="My account newsletter privacy" unchecked="">
<label class="iconglasses-icon-unchecked sendEmail-custom-label" for="sendEmail" aria-label="My account newsletter checkbox" tabindex="0">
<span class="path1"></span><span class="path2"></span>
<p class="label-checkbox">Send me promotions and offers by email</p>
</label>
</td>
</tr>
<tr class="my-account-table-row">
<td class="my-account-table-col">Address<br>
<span id="numAddressSave"></span>
</td>
<td class="my-account-table-col">
<a href="#" id="manage" onclick="openModalAddress('manage');" aria-label="Manage default address">Manage</a><br>
<a href="#" id="addNew" onclick="openModalAddress('addNew');" aria-label="Add new address">Add New</a>
</td>
</tr>
</tbody>
</table>
</form>
Name: addressForm — POST AddressUpdate
<form name="addressForm" id="address-form" method="POST" action="AddressUpdate">
<input id="store-id" type="hidden" name="storeId" value="15951">
<input id="lang-id" type="hidden" name="langId" value="-1">
<input id="catalog-id" type="hidden" name="catalogId" value="22101">
<input id="for-user" type="hidden" name="forUser" value="">
<input id="for-user-id" type="hidden" name="forUserId" value="-1002">
<input id="address-id" type="hidden" name="addressId" value="">
<input id="newNickname" type="hidden" name="nickName">
<input id="setPrimary" name="primary" type="hidden">
<div class="address-input-container">
<div class="input-x-container">
<label class="input-label">First Name</label>
<input aria-required="true" type="text" class="address-textbox input-common input-white blur required" id="firstname" name="firstName" title="My account first name">
<span class="iconglasses-x" style="display: none;"></span>
</div>
<div class="line"></div>
</div>
<div class="address-input-container">
<div class="input-x-container">
<label class="input-label">Last Name</label>
<input aria-required="true" type="text" class="address-textbox input-common input-white blur required" id="lastname" name="lastName" title="My account last name">
<span class="iconglasses-x" style="display: none;"></span>
</div>
<div class="line"></div>
</div>
<div class="address-input-container">
<div class="input-x-container">
<label class="input-label">Address</label>
<input aria-required="true" type="text" class="address-textbox input-common input-white blur required" id="address" name="address1" title="My account address">
<span class="iconglasses-x" style="display: none;"></span>
</div>
<div class="line"></div>
</div>
<div class="address-input-container address-row-address2">
<p class="address-add-address2" onclick="address2();" tabindex="0" aria-label="Add address 2">+ Address 2</p>
<p class="address-remove-address2" onclick="address2();" tabindex="0" aria-label="Remove address 2">- Address 2</p>
<div class="address-address2-container">
<input class="address-textbox input-common input-white blur" type="text" name="address2" id="address2" placeholder="Address 2" title="My account address2">
<div class="line"></div>
</div>
</div>
<div class="address-input-container">
<div class="input-x-container">
<label class="input-label">City</label>
<input aria-required="true" class="address-textbox input-common input-white blur required" type="text" id="city" name="city" title="My account city">
<span class="iconglasses-x" style="display: none;"></span>
</div>
<div class="line"></div>
</div>
<div class="address-form-flex">
<div class="address-input-container" id="address-zipcode">
<div class="input-x-container">
<label class="input-label">Zip Code</label>
<input aria-required="true" class="address-textbox input-common input-white blur required" type="text" id="zipcode" name="zipCode" maxlength="5" size="10" title="My account zipcode">
<span class="iconglasses-x" style="display: none;"></span>
</div>
<div class="line"></div>
</div>
<div class="address-input-container" id="address-state">
<div class="input-x-container select_container_gl no_padding_select_container_gl select_container_gl_myaccount" style="height: 49px;">
<label class="input-label label-on-top state-label" id="state-label" style="font-weight: normal; margin-bottom: 0px;">State</label>
<select title="State" id="myaccmodal_state_selectbox" class="select-state-checkout utagpiimask selectBox" style="display: none;">
<option value="">State</option>
<option value="AL">AL - Alabama</option>
<option value="AK">AK - Alaska</option>
<option value="AZ">AZ - Arizona</option>
<option value="AR">AR - Arkansas</option>
<option value="CA">CA - California</option>
<option value="CO">CO - Colorado</option>
<option value="CT">CT - Connecticut</option>
<option value="DE">DE - Delaware</option>
<option value="DC">DC - District of Columbia</option>
<option value="FL">FL - Florida</option>
<option value="GA">GA - Georgia</option>
<option value="HI">HI - Hawaii</option>
<option value="ID">ID - Idaho</option>
<option value="IL">IL - Illinois</option>
<option value="IN">IN - Indiana</option>
<option value="IA">IA - Iowa</option>
<option value="KS">KS - Kansas</option>
<option value="KY">KY - Kentucky</option>
<option value="LA">LA - Lousiana</option>
<option value="ME">ME - Maine</option>
<option value="MD">MD - Maryland</option>
<option value="MA">MA - Massachusetts</option>
<option value="MI">MI - Michigan</option>
<option value="MN">MN - Minnesota</option>
<option value="MS">MS - Mississippi</option>
<option value="MO">MO - Missouri</option>
<option value="MT">MT - Montana</option>
<option value="NE">NE - Nebraska</option>
<option value="NV">NV - Nevada</option>
<option value="NH">NH - New Hampshire</option>
<option value="NJ">NJ - New Jersey</option>
<option value="NM">NM - New Mexico</option>
<option value="NY">NY - New York</option>
<option value="NC">NC - North Carolina</option>
<option value="ND">ND - North Dakota</option>
<option value="OH">OH - Ohio</option>
<option value="OK">OK - Oklahoma</option>
<option value="OR">OR - Oregon</option>
<option value="PA">PA - Pennsylvania</option>
<option value="RI">RI - Rhode Island</option>
<option value="SC">SC - South Carolina</option>
<option value="SD">SD - South Dakota</option>
<option value="TN">TN - Tennessee</option>
<option value="TX">TX - Texas</option>
<option value="UT">UT - Utah</option>
<option value="VT">VT - Vermont</option>
<option value="VA">VA - Virginia</option>
<option value="WA">WA - Washington</option>
<option value="WV">WV - West Virginia</option>
<option value="WI">WI - Wisconsin</option>
<option value="WY">WY - Wyoming</option>
</select><a class="selectBox select-state-checkout utagpiimask selectBox-dropdown" title="State" tabindex="0" style="width: 2px; display: inline-block;"><span class="selectBox-label" style="width: 85px;">State</span><span class="selectBox-arrow" style=""></span></a>
</div>
<input id="state" type="hidden" class="selectBox">
<div class="line"></div>
</div>
</div>
<div class="address-input-container" style="width: 47%;">
<div class="input-x-container">
<label class="input-label">Phone</label>
<input aria-required="true" class="address-textbox input-common input-white blur required" type="tel" id="phone" size="10" name="phone1" title="My account phone">
<span class="iconglasses-x" style="display: none;"></span>
</div>
<div class="line"></div>
</div>
<div class="modal-address-body mt-5">
<div class="address-checkbox-container">
<input type="checkbox" name="addressDefault" id="addressDefault" class="addressDefault_checkBox address-checkbox" checked="">
<label class="iconglasses-icon-checked addressDefault-custom-label" for="addressDefault" onclick="checkboxAddressDefault();" tabindex="0">
<span class="path1"></span><span class="path2"></span>
<p class="label-checkbox" for="addressDefault">Use as default</p>
</label>
</div>
<a href="#" id="remove-address">Remove this address</a>
</div>
<div id="change-address-error-message" class="service-error-message-container"></div>
<div class="address-form-button-container">
<button class="tps_btn tps_btn-violet-outline address-form-button" id="address-reset-button">Reset</button>
<button class="tps_btn tps_btn-violet address-form-button" id="address-save-button">Save</button>
</div>
</form>
<form class="section email-sign-up-form" id="email-sign-up-form" novalidate="novalidate" autocomplete="off"> <input name="preregister" type="hidden" value="true"> <input name="addressType" type="hidden" value="M"> <input
name="lcGeneralEmailOptIn_15951_r_1" type="hidden" value="true"> <input name="ageCheck_15951_r_1" type="hidden" value="true"> <input name="canAddOrigin" type="hidden" value="true"> <input name="optinStatus" type="hidden" value="true"> <input
name="URL" type="hidden" value="SuccessView"> <input name="storeId" type="hidden" value="15951"> <input name="langId" type="hidden" value="-1"> <input name="emailType" type="hidden" value="Footer"> <input name="showRegister" type="hidden"
value="true">
<div class="footer-newsletter-fr">
<div class="footer-newsletter-em"> <input name="email" class="form-input blur" maxlength="64" type="text" placeholder="Your email" title="Signup email">
<div class="line"></div>
</div>
<div class="footer-newsletter-btn"><button class="form-btn" data-element-id="X_X_Footer Newsletter_SignupForm">SUBMIT</button> </div>
</div>
<div id="successMessageEmail" class="successMessageEmail"></div>
<div id="errorMessageEmail"></div>
</form>
Text Content
Vision Insurance Using your insurance on Glasses.com is easy and simple, as we accept most vision insurance plans, including EyeMed, Davis Vision and Superior Vision. Just search for yours from the panel below. Select or type your insurance provider EyemedDavis VisionSuperior VisionNVA – National Vision Administrators -------------------------------------------------------------------------------- Aetna Vision PreferredAllWays Health PartnersAmeritas Anthem Blue View VisionBCBS of IllinoisBCBS of KansasBCBS of LouisianaBCBS of Massachusetts- Blue 20/20BCBS of MinnesotaBCBS of MontanaBCBS of New MexicoBCBS of North Carolina - Blue 20/20BCBS of OklahomaBCBS of South Carolina - Healthy VisionBCBS of Tennessee - VisionBlueBCBS of TexasBCBS of WyomingBCBS Rhode Island BlueCross VisionBCBS Kansas City - Blue VueBCS FinancialBEST Life and Health Insurance CompanyBlue Cross Blue Shield FEP VisionBlue Shield of NE New YorkCare N Care Insurance CompanyCareFirstCareSource Companion Life VisionCREATEDelta Dental ArkansasDelta Dental of MissouriDelta Dental of New MexicoDeltaVision ArizonaDeltaVision IllinoisDeltaVision IowaDeltaVision MinnesotaDeltaVision NortheastDeltaVision Puerto RicoDeltaVision WisconsinDental SelectDentist DirectEmblemHealthEnvolve VisionFallon Community Health PlanFlorida BlueGEHAGroup Vision ServiceHealth New EnglandHealth Plan of NevadaHealthMarketsHealthnow New YorkHighmark Blue EdgeHighMark Blue VisionHorizon VisionHumana VisionIndependence Blue CrossIndependent HealthIU Health PlansMagnacare VisionMedical Mutual Vision PlanMutual of OmahaMVP Health Plan, Inc.NipponOscar Health InsurancePriority HealthSelectHealthSentaraSolstice Health PlansStarmountSurency VisionUnited ConcordiaUNUM Vision InsuranceUSHealth Group Premier Vision First Name Last Name Date of birth Zip code or SSN (last 4) OOPS! LOOKS LIKE WE'RE HAVING TROUBLE FINDING YOU. Make sure the information you entered matches your insurance plan, or add a few more details to help us find you. OOPS! LOOKS LIKE WE'RE HAVING TROUBLE FINDING YOU. Due to a technical problem, we're having trouble retrieving this information. Please try again in 5 minutes. OOPS! LOOKS LIKE THERE ARE NO BENEFITS TO APPLY. We found your insurance but unfortunately it looks like your plan doesn't have benefits to apply, or that you might not be eligible. Have a check with your insurance provider. SO SORRY, TOO MANY FAILS For your security, we've temporarily locked the insurance look up. You may try again in 5 minutes. If you need additional support or assistance, please contact us at you can contact the customer service at 1-800-GLASSES (800-452-7737) or send an email to info@glasses.com, and they will help you as best they can. Insurance Plan ID Insurance Member ID Cancel Submit Having trouble finding your insurance provider? Chat with us We also accept out-of-network plans You may also use out-of-network benefits at Glasses.com for most other vision insurance companies, like VSP and Spectera. You can submit the claim form directly to your insurance company. Download Form For your security, your personal benefit information is only available during your session and will be erased when you close your browser. Login / Register FAVORITES * Eyeglasses > * Sunglasses > * Brands > * Offers * Eyecare world > * Insurance > * Lenses > 1 Back * All eyeglasses * Women * Men * Sale * Frame Finder 50% off prescription lenses SHOP NOW Sale SHOP NOW Frame Finder START NOW Back * All sunglasses * Women * Men * Sale * Frame Finder 50% off prescription lenses SHOP NOW Sale SHOP NOW Frame Finder START NOW Back * Frame Finder * The Glasses.com Collection Frame Finder START NOW The Glasses.com Collection Frame + lenses starting at $95. SHOP THE COLLECTION Back * All trends * Innovative Materials * Minimal Cut-outs * Future Classics Innovative Materials SHOP NOW Minimal Cut-outs SHOP NOW Future Classics SHOP NOW Back VIEW ALL BRANDS VIEW ALL BRANDS FRAME + LENSES STARTING AT $95 20% off select frames: don’t miss it. Ends in 16H : 41M : 01S FRAME + LENSES STARTING AT $95 20% off select frames: don’t miss it. Ends in 16H : 41M : 01S FRAME + LENSES STARTING AT $95 Our offers for you 48-HOUR FLASH SALE | 16H : 41M : 01S 20% off select frames: don’t miss it. Some exclusions may apply. TOP THE YEAR OFF: get 50% off prescription lenses Applies directly at checkout. Some exclusions may apply 50% off selected frames + prescription lenses Some exclusions may apply. The Glasses.com Collection Frame + Lenses starting at $95 VIEW ALL OFFERS GRAB YOUR WELCOME REWARD JOIN THE GLASSES.COM WORLD Enter your email below and treat your eyes to the most unique experience. Grab your welcome reward on your first frame now. E-MAIL ADDRESS JOIN NOW By clicking sign up, I confirm that I am over 16 years old and I agree that my email address can be used by Luxottica S.p.A. to send me exclusive offers, contents, news and other marketing communication (visit Privacy Policy for further information). CONGRATS! YOU'RE PART OF THE GLASSES.COM WORLD Check your email to discover your exclusive welcome reward. SHOP NOW Vision Insurance c Create account Email Password Send me promotions and offers by email Sign up to receive news and exclusive offers from Glasses.com. You can withdraw consent at any time. For more details see our Privacy Policy. I certify that I am 13 years or older. Create account Sign In Email Password Forgot your password? Sign in Forgot password Please enter the email address used for your account and we will send you a temporary password via email. Email We do not have a record of a registered customer with that email address. Enter another email address and try again. 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Shop Eyeglasses Shop Sunglasses OUR SUGGESTION {"sizes":{"18079440":"Standard|48-20-145"},"hasSingleSKU":false,"catalogEntryTypeCode":"ItemBean","parentCatalogGroupID":["22051_99856673","22101_99857175","22101_99857352","22101_99857444","22101_99857461","22101_99857466","22101_99895671","22101_99896174","22101_99896177","22101_99896178","22101_99912176","22101_99932174"],"keyword":"0PH2083","uniqueID":"18079440","parentCategories":[{"catGroupId":99856673,"identifier":"EYEGLASSES_GL"},{"catGroupId":99857352,"identifier":"Polo Ralph 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GAZE","buyable":"true","storeID":"14851","partNumber":"8056597079525"} AVIATOR GAZE Ray-Ban $ 177.00 0 My Account Sign out * Account info * Order History Email Password Edit Old Password New Password Cancel Save Date of Birth Edit Date of Birth Cancel Save Send me promotions and offers by email Address Manage Add New There are no orders yet Addresses Default address is now changed - A new address - * - A new address - First Name Last Name Address + Address 2 - Address 2 City Zip Code State State AL - Alabama AK - Alaska AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DE - Delaware DC - District of Columbia FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Lousiana ME - Maine MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - 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{"sizes":{"18653266":"Standard|49-22-145"},"hasSingleSKU":false,"catalogEntryTypeCode":"ItemBean","parentCatalogGroupID":["22051_99856677","22101_99857175","22101_99857352","22101_99857445","22101_99932175"],"keyword":"0PH4159","uniqueID":"18653266","parentCategories":[{"catGroupId":99856677,"identifier":"SUNGLASSES_GL"},{"catGroupId":99857352,"identifier":"Polo Ralph Lauren"},{"catGroupId":99932175,"identifier":"PRESCRIPTION_LENSES_SUNGLASSES"},{"catGroupId":99857445,"identifier":"SUNGLASSES"},{"catGroupId":99857175,"identifier":"EYEWEAR"}],"siblings":[],"resourceId":"http:\/\/lrronafep01.luxgroup.net:3737\/search\/resources\/store\/15951\/productview\/byId\/18653266","price":[{"description":"L","value":"168.0","usage":"Display","currency":"USD"},{"description":"I","value":"134.4","usage":"Offer","currency":"USD"}],"manufacturer":"Polo Ralph Lauren","mfPartNumber_ntk":"0PH4159","name":"PH4159","buyable":"true","storeID":"14851","partNumber":"8056597106825"} {field2=null value oid=null value manufacturerPartNumber=0PH4159 field1=null value __Key=catalogEntryReferenceNumber=18653266 endOfServiceDate=null value memberId=7000000000000006703 onSpecial=null value baseItemId=null value catalogEntryReferenceNumber=18653266 startDate=2021-04-23 15:21:53.099853 type=ItemBean state=1 url=null value language_id=null value onAuction=null value partNumber=8056597106825 buyable=1 manufacturerName=Polo Ralph Lauren lastUpdate=2021-04-23 15:21:53.088 lastOrderDate=null value markForDelete=0 discontinueDate=null value endDate=null value itemspc_id=3074457345618427225 availabilityDate=null value field5=20.0 field4=null value field3=null value} test {field2=null value oid=null value manufacturerPartNumber=0PH4159 field1=null value __Key=catalogEntryReferenceNumber=18653266 endOfServiceDate=null value memberId=7000000000000006703 onSpecial=null value baseItemId=null value catalogEntryReferenceNumber=18653266 startDate=2021-04-23 15:21:53.099853 type=ItemBean state=1 url=null value language_id=null value onAuction=null value partNumber=8056597106825 buyable=1 manufacturerName=Polo Ralph Lauren lastUpdate=2021-04-23 15:21:53.088 lastOrderDate=null value markForDelete=0 discontinueDate=null value endDate=null value itemspc_id=3074457345618427225 availabilityDate=null value field5=20.0 field4=null value field3=null value} -20% POLO RALPH LAUREN/PH4159 Representing Ralph Lauren’s iconic heritage as a globally recognized designer, Polo Ralph Lauren celebrates a signature vision of a classic, spirited American style for men and women. Timeless and authentic, Polo Ralph Lauren is the enduring symbol of modern-day American style: easy, energetic, young and cool. c Polarized - Eliminates glare, increases clarity and enhances contrasts. ADDITIONAL FRAME COLOR OPTIONS -20% -50% -20% 1 colors FRAME SPECS FRAME COLOR Tortoise LENS COLOR Green Polar FRAME DETAIL Gender: men Frame Type: Full Rim Sunglasses Frame Material: Acetate Size: Standard 49-22 We also accept FSA/HSA dollars. Fast and free delivery 60-day returns $ 208.00 $ 166.40 Starting at 4 interest-free payments of $42 with Affirm. 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