Register

If you are a specialty contact lens professional, please complete the registration form below to receive access to the Specialty Lens Success Center, CooperVision Specialty EyeCare's online learning resource.

First Name*

Last Name*

Email*

Role*

Country*

Practice/Company*

Practice Address*

Practice Address 2

City*

State*

Zip*

Practice Phone Number

Graduation Year*

School*

Individual NPI*

Paragon Account Number*

GP Specialists Account Number

Blanchard Account Number*

SynergEyes Account Number

CooperVision Account Number

Your username must be at least 5 characters in length and should only include lowercase letters, numerals or the following special characters: underscore ( _ ), hyphen( - ), period( . ) or the at-symbol( @ ). You may use your email.

Username*

Password*

Confirm Password*

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*By submitting this form, you grant CooperVision, Inc. permission to add your contact information to our database to send you information and communications related to our products and services. The use of personal contact information will be treated in accordance with CooperVision's Privacy Policy and in accordance with the California Consumer Privacy Act of 2018 (CCPA)

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