      (Prescription and Safety Eyeglasses)

                                     *Safety benefit is in lieu of the Prescription Eyeglasses program. PRESCRIPTION EYEGLASSES       Wen you tae avantage of  your vision enefits ell SCHEDULE AN USE YOUR GVS DONATES    Wen you tae avantage of  onate a air of glasses to APPOINTMENT BENEFIT GLASSES     your vision enefits ell       someone in nee. SCHEDULE AN USE YOUR GVS DONATES  onate a air of glasses to APPOINTMENT BENEFIT GLASSES         someone in nee.          Cataract  Oversize      L • DO   L E G      W O Every time you tae avantage of     E O SCHEDULE AN USE YOUR GVS DONATES your GVS vision enefits ell onate    E L • DO D APPOINTMENT GVS BENEFIT GLASSES ELS a air of glasses to someone in nee.  G        W O Every time you tae avantage of        E O SCHEDULE AN USE YOUR GVS DONATES  your GVS vision enefits ell onate 

E D APPOINTMENT GVS BENEFIT GLASSES       

S a air of glasses to someone in nee. 4. HOW YOU GET IT:                   GO TO: generalvision.com BENEFITS        YOUR VISION            simply enter your Benefit Number (7501) to:       NYC DISTRICT COUNCIL(Prescription OF CARPENTERS/BENEFIT and Safety Eyeglasses)     #7501         • FIND A PROVIDER • SCHEDULE AN APPOINTMENT • REVIEW YOUR BENEFITS                                         1. WHAT   YOU GET: or call for D more information D       800.VISION.1LL • O LL • O       E G E G PRESCRIPTION*Safety benefit EYEGLASSES is in lieu of the Prescription EyeglassesSAFETY EYEGLASSES program.    W O W O VISION BENEFITS SUMMARY VISION BENEFITS SUMMARY       

E O E O PRESCRIPTION EYEGLASSES  Safety  benefit is in lieu of the prescription eyeglass program. E E D

D    S

S SAFETY EYEGLASSES VISION BENEFITS SUMMARY*  *   L • DO L • DO    L L  E G E G  * W O W O    Wen you tae avantage Every time you tae avantage     Every time you tae avantageO O  E E      

E E

D D   5    

of your vision enefits ell of your GVS vision enefits of teir GVS vision enefits  S

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**Not included in plan. Account: 7501 Print Date: 9/12/17 Print Amount: 200

  3. PICK A PROVIDER LOCATION:

NEW YORK Cohen’s Fashion Optical Flushing Downtown New Springville Vision Decision Shirley WESTCHESTER Jersey City PUERTO RICO 830 Pearle Vision Center Cohen’s Fashion Optical Broadway Eyecare 40 Atlantic Avenue General Vision @ Hudson Eyecare (50th St.) 193-20 Northern Boulevard 395 Flatbush Ave. Ext. 5571 Broadway Cohen’s Fashion Optical (516) 255-2020 Cohen’s Fashion Optical Peekskill Associates FAIRFIELD HATO REY (212) 750-9005 2655 Richmond Avenue Southport Shopping Center Dr. Vernon Peryea 368 Central Avenue Chelsea (718) 357-4666 (718) 965-2020 (718) 543-2020 Rockville Centre Danbury Cohen’s Fashion Optical (718) 698-6666 999-3 Montauk Hwy. 1865 Main Street (201) 659-2774 General Vision @ Cohen’s Fashion Optical Cohen’s Fashion Optical Cohen’s Fashion Optical Plaza Las Americas The Eye Shop Eyecrafters Optical Bruckner (631) 399-6992 (914) 737-0437 Cohen’s Fashion Optical 767 Lexington Ave 29-30 Union Street 340 Jay Street Vision Quest Optical Staten Island Mall 560 Sunrise Hwy. MIDDLESEX Danbury Fair Mall (787) 777-0990 275 7th Ave. (25th Street) (60th St.) (718) 359-7400 (718) 858-5000 905 White Plains Rd. Sterling Optical (516) 766-0550 South Farmingdale North Tarrytown 7 Backus Avenue (212) 691-1709 (212) 751-6652 (718) 239-9389 2655 Richmond Avenue Eyeglass Depot Optical Optometry East Brunswick (203) 790-1341 CAROLINA Forest Hills General Vision @ Valley Stream 4 N. Broadway East Side (718) 698-6020 60 Willow Park Center Crown Eyecare Center Stamford Cohen’s Fashion Optical Cohen’s Fashion Optical General Vision @ Court Street Lens Lab Express Cohen’s Fashion Optical (914) 332-4074 Midstate Mall Cohen’s Fashion Optical (631) 777-7283 Cohen’s Fashion Optical Plaza Carolina 177 E. 86th St. Cohen’s Fashion Optical 66 Court Street 1998 Bruckner Blvd. Port Richmond 11-12 300 Rte 18 North, Suite# 106 East 23rd Street (212) 426-1222 116-53 Queens Blvd. (btwn. Joralemon & (718) 430-9776 Forest Avenue (516) 825-4900 Stonybrook Rye Brook Local 245 Dr. Hal Mendel 32B (203) 359-9600 (Between Park and (718) 268-2020 Livingston St.) Shopping Center Pearle Vision Center (787) 701-3165 Cohen’s Fashion Optical West Hempstead 19 A Rye Ridge Plaza (732) 651-8188 Lexington Ave.) (718) 923-2020 Co-Op City Specs For Less 1320 Stony Brook Road Trumbull 1369 Third Avenue General Vision @ (914) 939-2224 (212) 677-3707 Howard Beach Bronx Eyecare 1489 Forest Ave. (631) 751-8200 Jamesburg Cohen’s Fashion Optical (212) 988-8505 Optical Illusions East New York 2075 Bartow Ave. Cohen’s Fashion Optical Westchester Eye Doctors Jamesburg Family Eyecare Trumbull Shopping Park Cohen’s Fashion Optical (718) 727-5059 160-55 Cross Bay Eyesite Vision II (718) 671-5666 500 Hempstead Tpke. DUTCHESS 204 South Ridge Street 333 Forsgate Drive 5065 Main Street Bellevue Hospital Specs For Less Boulevard 1125 Liberty Ave. (516) 489-2262 (203) 374-3403 1904 Third Ave./105 St. NASSAU (914) 939-0830 (732) 656-1515 462 First Ave. (718) 835-2020 (718) 235-7900 Fordham Beacon (bet. 27th and 28th St) (212) 831-3162 Bronx Eyecare Bellmore SUFFOLK Pink Optical White Plains North Brunswick HARTFORD (212) 689-9601 Jackson Heights Flatbush 2376 Grand Concourse Vision People 323 Main Street Cohen’s Fashion Optical Optical Insight Cohen’s Fashion Optical Bayshore Farmington Cohen’s Fashion Optical General Vision @ (718) 365-6300 2766 Sunrise Highway (845) 765-1255 The Galleria 778 Carolier Lane Greenwich Village 660 Lexington Ave. Sterling Optical Cohen’s Fashion Optical 37-33 82nd St. Flatbush Avenue (516) 826-2020 (914) 428-0300 (732) 828-3937 Cohen’s Fashion Optical (212) 317-0067 General Vision Services 1701 Sunrise Highway Poughkeepsie 113 West Farms Mall (718) 458-8800 2504 Flatbush Ave. Woodbridge 603 6th Avenue Across from Kings 330 East Fordham Road George Wollman (631) 666-4960 Now Located At: Yorktown Heights (860) 521-4141 Upper West Side Cohen’s Fashion Optical (212) 924-1390 Jamaica Plaza Mall (917) 801-2400 1859 Newbridge Road Ultimate Spectacle Sterling Optical Cohen’s Fashion Optical Cohen’s Fashion Optical 460 Dr. Location relocated. Lens Lab Express/GVS (718) 258-2020 (516) 785-4483 South Road Square 650 Lee Blvd. FLORIDA 167 W. 72nd St. 163-34 Jamaica Ave. Jerome Avenue 1701 Sunrise Highway (732) 636-2112 All patient files will (212) 769-1410 Cohen’s Fashion Optical Shopping Center (914) 245-8111 be at (718) 526-2332 Cohen’s Fashion Optical East Meadow (631)614-2020 BROWARD 3416 Jerome Ave. 1955 South Road Yonkers Cohen’s Fashion Optical Cohen’s Fashion Optical 1704 Church Avenue Pearle Vision Center (845) 298-0992 MONMOUTH Plantation Eyecare Express (718) 325-3160 Bellport The Vision Place 825 Broadway 2933 Broadway (718) 684-5000 2365 Hempstead Eatontown Cohen’s Fashion Optical 221-05 Jamaica Ave. Turnpike EyeCare Center of Bellport 100 New Main Street (b/w 12th & 13th Street) (212) 662-0400 Morris Park 5 Bellport Lane ORANGE Cohen’s Fashion Optical Broward Mall (718) 465-9500 Lens Lab Express (516) 796-3800 (914) 965-5367 (212) 475-0999 of Flatbush Cohen’s Fashion Optical @ (631) 286-4014 180 Route 35 South Hill (954) 472-4777 Now Located At: Wizard of Eyes Jacobi Medical Center Blooming Grove Harlem Cohen’s Fashion Optical 972 Flatbush Ave. Freeport Washingtonville Eye Sterling Optical (732) 542-6060 165-01 Jamaica Avenue 1400 Pelham Pkwy South Eyeworld Optical Bohemia Cross County HILLSBOROUGH Cohen’s Fashion Optical 2618 Broadway (718) 826-0005 Pearle Vision Center Associates Keyport th (718) 523-0730 (718) 828-0005 185 West Merrick Road Shopping Center 86 West 125th St. (Corner of 99 street) 4800 Sunrise Highway 2877 Route 94 Specs for Less of Keyport Valrico Sterling Optical (516) 867-1213 (914) 968-6600 (212) 996-2676 (212) 666-2615 Urban Eyes 524 Clarkson Ave. Parkchester (631) 567-3500 (845) 496-9999 1 Route 35 South Sun Hill Optical 159-03 Jamaica Avenue Designer Optical Supreme Spectacle (718) 778-3036 Garden City Ultimate Spectacle (732) 264-2500 1940 East Hwy 60 Wynn Optics (718) 989-1996 1440 Metropolitan Ave. East Northport Goshen 4250 Broadway Cohen’s Fashion Optical Dr. Franco Rossi 1086 N Broadway (813) 653-2244 629 Malcolm X Blvd Kings Highway (347) 281-4441 Larkfield Optical Manalapan (212) 491-1500 (212) 795-5640 Richmond Hill Roosevelt Field 25 Saint John St. (914) 376-4000 Accurate Eye Care Kings Highway Vision Shopping Center 516 Larkfield Road (845) 294-6411 OSCEOLA General Vision @ Center Vision World (631) 368-2020 Yonkers Eyewear Optical 700 Tennent Rd. Inwood Lens Lab Express Cohen’s Fashion Optical 1324 Metropolitan Avenue (516) 294-0011 (732) 536-0664 Kissimmee 1420 Saint Nicholas 1302 Kings Highway Middletown 442 South Broadway Superior Vision Center 115-10 Liberty Ave. (718) 863-3023 Greenport Florida Optical Avenue Corner of E. 13th Street Ultimate Spectacle Cohen’s Fashion Optical (914) 294-0320 Matawan 4767 Broadway (718) 323-6410 Greenport Eyeworks 1011 W Vine Street (212) 543-3333 (718) 376-2020 Pelham Parkway Roosevelt Field Mall Galleria @ Crystal Run Avenue Eyewear (212) 567-9351 137 Third St. Designer Optical (407) 343-0567 Ridgewood Bronx Eye Associates 630 Old Country Road (845) 692-5800 351-B Matawan Road Lower East Side West Side Kings Vista Site Eyecare (631) 477-1800 1 Palisades Avenue General Vision Express 665 Pelham Parkway (516) 408-5330 Newburgh (732) 583-2800 Cohen’s Fashion Optical Cohen’s Fashion Optical 1909 Kings Highway (914) 226-8706 PALM BEACH 57-52 Myrtle Ave. Suite 202 Huntington Station Sterling Optical 33 Maiden Lane 225 W. 34th Street (917) 933-9090 Great Neck (718) 497-2020 (718) 547-2020 Sterling Optical 1401 Route 300 OCEAN Boca Raton (212) 232-0065 (212) 239-6999 Vision Associates Mall 64 Middle Neck Road 259 Walt Whitman Rd. (845) 564-3522 Brick Town Cohen’s Fashion Optical Woodside Cohen’s Fashion Optical South Bronx (631) 427-7300 BURLINGTON 6000 Glades Road Cohen’s Fashion Optical General Vision CN Vision Care Cohen’s Fashion Optical (516) 482-0129 Dr. Dennis Lyons 117 Orchard Street 20 West 14th St. 5171 Kings Plaza Mall ROCKLAND Willingboro 990 Cedar Bridge Ave. (561) 368-1187 45-56 46th Street 2856 Third Ave Hicksville Islandia (732) 920-0110 (212) 674-1986 (212) 229-1470 (718) 951-9800 Clarity Optics South Shore Opticians (718) 392-1244 (718) 585-5100 Cohen’s Fashion Optical Sterling Optical Congers Sheepshead Bay Islandia Shopping Center Optometric Eyecare 320 Beverly-Rancocas Rd. 1944 N.E. 5th Avenue Midtown East QUEENS White Plains Road 371A (609) 877-1229 PASSAIC (561) 368-2878 Cohen’s Fashion Optical BROOKLYN Vogue Optical 1744 Veterans Memorial of Rockland Sterling Optical (516) 938-0055 35 Lake Road West Paterson 50 East 42nd St. Astoria 3723 Nostrand Ave. Hwy. Bay Parkway 2168 White Plains Rd. (845) 267-2888 ESSEX Eye Contact Optical MASSACHUSETTS (212) 697-1838 Cohen’s Fashion Optical (718) 646-6200 Levittown (631) 348-4545 Couture Optical NYC (718) 931-0500 Central Nassau Optical East Orange 165 Main St. 30-95 Steinway St. 2313 65th Street Sunset Park Lake Grove Nanuet BRAINTREE Midtown West (718) 274-3500 2943 Hempstead Tpk. Sterling Optical Dr. Spiro Antonacos (973) 278-1838 Cohen’s Fashion Optical (718) 975-4824 Cohen’s Fashion Optical STATEN ISLAND Cohen’s Fashion Optical 582 Central Ave. Cohen’s Fashion Optical (516) 731-5050 164 East Route 59 Main Street Optical 330 West 42nd St. Cohen’s Fashion Optical 5516 5th Ave. Smithhaven Mall 250 Granite Street Bayridge Bulls Head (845) 623-8074 (973) 673-7700 1010 Main Street (bet. 8th/9th Ave.) 22-19 31st St. (718) 492-0515 Ultra Vision Optical Center (631) 361-7310 (781) 848-4481 Cohen’s Fashion Optical Specs for Less 3697 Hempstead Tpke. Cedar Grove (862) 239-9550 (212) 869-2020 (718) 777-7678 414 86th Street Williamsburg 1650 Richmond Avenue Lindenhurst Cohen’s Fashion Optical (516) 796-2020 8129 Fashion Drive Dr. Spiro Antonacos Passaic Cohen’s Fashion Optical Bayside (718) 833-2320 Lens Lab Express of (718) 249-0093 General Vision @ 466 Pompton Ave. Cohen’s Fashion Optical (845) 623-2043 Crystal Lens Optical 130 West Cohen’s Fashion Optical Graham Ave. Long Beach (973) 239-8381 BUCKS Mega Vision Center 28 Graham Ave. Charleston Above All Eyes Optician 350 East Montauk Hwy. 670 Main Avenue (212) 581-4967 Bay Terrace Shopping 187 Ave. U Veterans Road West West Nyack Center (718) 486-0117 264 East (Near Park Ave.) Livingston (973) 773-2020 Langhorne (718) 373-2020 Specs for Less Cohen’s Fashion Optical Union Square 211-51 26th Ave. (516) 889-2010 (631) 225-5828 Palisades Mall Invision Eye Care Cohen’s Fashion Optical Cohen’s Fashion Optical 2935 Veterans 57 East Mt. Pleasant Ave. SOMERSET Oxford Valley Mall (718) 631-3699 Bensonhurst BRONX Road West Lynbrook Patchogue 2641 Palisades Center (973) 533-1333 825 Broadway Cohen’s Fashion Optical Drive 2300 East Lincoln Highway Eye Supply of Bayside General Vision @ (718) 967-2869 American Vision of General Vision @ Bridgewater (215) 757-4111 (b/w 12th & 13th Street) 2167 86th Street (845) 358-9001 Newark Cohen’s Fashion Optical (212) 475-0999 39-25 Bell Blvd. Lincoln Hospital Lynbrook Cohen’s Fashion Optical (718) 946-3647 234 East 149th St. Eltingville 91 Broadway 499-80 Sunrise Highway Urban Eyes 400 Commons Way (718) 279-2020 Greenridge Plaza 787 Broad Street MONROE - GVS Safety Locations Upper East Side Brownsville Room 2-A3 (516) 593-2888 (631) 289-2010 SARATOGA (908) 725-0008 Ultimate Spectacle Corona (718) 665-0611 Specs For Less (973) 642-4949 Stroudsburg Cohen’s Fashion Optical 3245 Richmond Ave. Massapequa Port Jefferson Clifton Park Kliensorge Family Eyecare Some member 789 Lexington Ave Lens Lab Express of 1710 Pitkin Avenue Sterling Optical UNION offices are independent Corona Bainbridge (718) 605-4102 Cohen’s Fashion Optical Eye Supply of Port HUDSON 1619 N. 9th Street, Suite 2 Doctors of Optometry and (bet. 61st/62nd Sts.) (718) 342-5500 22 Clifton Country Road 37-40 Junction Blvd. General Vision Services 224 Sunrise Mall Jefferson Elizabeth (570) 421-2332 Optical Stores who have (212) 792-8123 New Dorp (518) 371-1881 Union City (718) 507-8114 Cohen’s Fashion Optical 3400 Bainbridge Avenue (516) 795-3030 1092 Route 112 Cohen’s Fashion Optical contracted with GVS to Stop & Shop Crystal Lens Express 651 Kapkowski Road provide services to those General Vision @ 1536 Flatbush Avenue (718) 652-1750 (631) 474-3937 participants outside of the Elmhurst Shopping Center New Hyde Park SULLIVAN 3907 Bergenline Ave. Jersey Gardens Mall Metropolitan Hospital (718) 434-2222 New York Metropolitan 1901 First Ave. - Cohen’s Fashion Optical Bainbridge Optical General Vision @ Eye Land Vision Center Riverhead (201) 865-8300 (908) 354-1599 area where frame General Vision @ Monticello selection may vary. Room 1D18-1st Fl. Crown Heights 3120 Bainbridge Avenue Cohen’s Fashion Optical 665 Hillside Ave. Dr. Mihai Busuioc West New York 2748 Hylan Blvd. Cohen’s Fashion Optical (212) 423-0665 90-15 Queens Blvd. Franklin Primary Eye Care (718) 655-6040 (516) 328-1200 343 Broadway Lens Lab Express of Locations are subject to (718) 592-5200 847 Franklin Avenue (718) 979-2200 Riverhead Plaza (845) 796-3937 change without notice. Baychester Mall Oceanside 755 Old Country Rd. W. New York (718) 604-1002 59-17 Bergenline Ave. Cohen’s Fashion Optical Cohen’s Fashion Optical (631) 727-3173 200 Baychester Avenue 3529 Long Beach Road (201) 861-0016 (718) 320-7700 (516) 764-2020 TURN THE PAGE FOR STEP 4 ➥