General Vision Participating Provider Locations Please call 1-800-VISION-1 or visit www.generalvision.com for Additional Locations in NY, NJ, CT & FL and Information

Sunset Park Greenridge Plaza Greenport West Nyack MONMOUTH LEE Cohen’s Fashion Optical Specs For Less Greenport Eyeworks Cohen’s Fashion Optical Eatontown Ft. Myers 5202 5th Ave. 3245 Richmond Ave. 137 Third St. Palisades Mall Cohen’s Fashion Optical Sterling Optical (718) 492-0515 (718) 605-4102 (631) 477-1800 2641 Drive 180 Route 35 South Hill 4125 Cleveland Avenue (845) 358-9001 (732) 542-6060 (239) 936-0332 Williamsburg Southshore Commons Hauppauge Lens Lab Express Specs For Less Hauppauge Vision Center WESTCHESTER Keyport of Graham Ave. 2935 Veterans Road West 555 Route 111 Peekskill Specs for Less of Keyport PALM BEACH 28 Graham Ave. (718) 967-2869 (631) 979-0515 Dr. Vernon Peryea 1 Route 35 South Greenacres (718) 486-0117 1865 Main Street (732) 264-2500 Lake Worth Vision NASSAU Holbrook (914) 737-0437 6486 Lake Worth Road BRONX Bellmore Sterling Optical MORRIS (561) 968-4942 General Vision @ New Location 5801 Sunrise Hwy White Plains Rockaway Lincoln Hospital Vision People (631) 567-4411 Cohen’s Fashion Optical Cohen’s Fashion Optical Boca Raton 234 East 149th St. 2766 Sunrise Highway The Galleria Rockaway Town Square Mall South Shore Opticians Room 2-A3 (516) 826-2020 Huntington Station (914) 428-0300 (973) 366-2072 1944 N.E. Avenue Plaza (718) 665-0611 Sterling Optical (561) 368-2878 Garden City 259 Walt Whitman Rd. Yonkers PASSAIC Bainbridge Cohen’s Fashion Optical (631) 427-7300 Sterling Optical Paterson Bainbridge Optical Roosevelt Field Cross County PORT Islandia Eye Contact Optical 3120 Bainbridge Avenue Shopping Center 165 Main St. 718-665-6040 (516) 294-0011 Sterling Optical (914) 968-6600 (973) 278-1838 CHARLOTTE Islandia Shopping Center Port Charlotte Freeport 1744 Veterans Memorial Hwy. Yonkers Eyewear Optical Progressive Optical (631) 348-4545 Passaic Broadway Eyecare Eyeworld Optical 442 South Broadway Crystal Lens Optical 21178 Olean Blvd. 5571 Broadway 185 West Merrick Road (914) 294-0320 670 Main Avenue (941) 629-1211 (718) 543-2020 (516) 867-1213 Lake Grove (973) 773-2020 Cohen’s Fashion Optical Designer Optical Bruckner Hicksville Smithhaven Mall 1 Palisades Avenue ST LUCIE (631) 361-7310 UNION Vision Quest Optical General Vision (914) 226-8706 Elizabeth Port St. Lucie 880 White Plains Rd. 232 Old Country Rd. Cohen’s Fashion Optical St. Lucie Vision Center (718) 239-9389 (516) 681-3110 Lindenhurst Yorktown Heights 10077 South Federal Highway Location relocated General Vision @ 651 Kapkowski Road Sterling Optical Jersey Gardens Mall (772) 398-3244 Co-Op City All patient files will be at Cohen’s Fashion Optical 650 Lee Blvd. (908) 354-1599 Bronx Eyecare Cohen’s Fashion Optical 350 East Montauk Hwy. 914-245-8111 2075 Bartow Ave. 210 (near Park Ave.) (718) 671-5666 (516) 938-0055 (631) 225-5828 Lens Lab Express BRISTOL of Elizabeth Fairhaven Patchogue 1167 Dickinson St. Cohen’s Fashion Optical Levittown BERGEN (908) 351-6277 Cohen’s Fashion Optical 3416 Jerome Ave. S.H. Laufer Vision World General Vision @ Dumont 33 Berdon Way (718) 325-3160 3543 Hempstead Tpke. Cohen’s Fashion Optical Dumont Eye Care (508) 990-2020 (516) 731-1400 Gateway Plaza 125 Ave. SOMERSET Fordham 499-80 Sunrise Highway (201) 385-3055 Bridgewater ESSEX Bronx Eyecare Massapequa (631) 289-2010 Cohen’s Fashion Optical 400 Commons Way Swampscott Your Vision Benefits Paramus 2374 Grand Concourse Cohen’s Fashion Optical (908) 725-0008 Advanced Vision Center (718) 365-6300 224 Sunrise Mall Port Jefferson Lens Lab Express of Paramus 423 Paradise Road (516) 795-3030 Eye Supply of Port Jefferson 193 Route 17 South (339) 440-5105 For Eligible Members & Dependents of Hunts Point 1092 Route 112 (201) 261-8020 Lens Lab Express New Hyde Park (631) 474-3937 FAIRFIELD 940 Southern Blvd. Eye Land Vision Center Cohen’s Fashion Optical MIDDLESEX (718) 860-2323 Riverhead 1 Danbury 665 Hillside Ave. Cohen’s Fashion Optical Natick Location Closed. (516) 328-1200 General Vision @ (201) 587-0122 Cohen’s Fashion Optical All patients can visit Cohen’s Fashion Optical Danbury Fair Mall 7 Backus Rd. Natick Mall Vision Quest Optical Oceanside Riverhead Plaza ESSEX (203) 790-1341 1245 Worcester Rd. 880 White Plains Rd. Vision Decision 755 Old Country Rd. East Orange (508) 651-9811 PSC - CUNY Welfare Fund (718) 239-9389 40 Atlantic Avenue (631) 727-3173 Dr. Spiro Antonacos (516) 255-2020 582 Central Ave. HARTFORD Jerome Avenue Shirley (973) 673-7700 Farmington PENSYLVANIA Account: 6747/6747M/6753 Cohen’s Fashion Optical Rockville Centre General Vision @ Cohen’s Fashion Optical Cohen’s Fashion Optical Cedar Grove 113 West Farms Mall 3416 Jerome Avenue Cohen’s Fashion Optical (860) 521-4141 BUCKS (718) 325-3160 560 Sunrise Hwy. Southport Shopping Center Dr. Spiro Antonacos Langhorne (516) 766-0550 999-3 Montauk Hwy. 466 Pompton Ave. Cohen’s Fashion Optical Parkchester (631) 399-6992 (973) 239-8381 NEW HAVEN Oxford Valley Mall Designer Optical South Farmingdale Milford Cohen’s Fashion Optical 2300 East Lincoln Highway 1440 Metropolitan Ave. Eyeglass Depot Optical DUTCHESS Livingston (215) 757-4111 (347) 281-4441 60 Willow Park Center Poughkeepsie Invision Eye Care 1201 Boston Post Road 631-777-7283 Cohen’s Fashion Optical 57 East Mt. Pleasant Ave. (203) 878-2020 Pelham Parkway (973) 533-1333 MONROE Bronx Eye Associates Valley Stream (845) 298-0992 Stroudsburg 665 Pelham Parkway Cohen’s Fashion Optical Monroe Township BROWARD Kliensorge Family Eyecare Suite 202 11-12 MONROE Dr. Michael Hayes Coral Springs 7400 Rte 611 (718) 547-2020 (516) 825-4900 Rochester 477 Spotswood- Stroud Commons Cohen’s Fashion Optical Englishtown Rd Optical Eyeworks (570) 421-5632 South Bronx West Hempstead (732) 641-2024 8124 Wiles Road Marketplace Mall 954) 757-2468 Cohen’s Fashion Optical General Vision @ 340 Miracle Mile Drive ( PUERTO RICO WHY SHOULD I SCHEDULE MY COVERED EYE EXAM TODAY? (formerly Eye Encounter/ Cohen’s Fashion Optical (585) 475-0250 Newark Optic Zone) 500 Hempstead Tpke. Urban Eyes Margate Eye Care Center HATO REY 2856 Third Ave. (516) 489-2262 ORANGE 787 Broad Street Cohen’s Fashion Optical • Ninety percent of people age 45 and over need eyeglasses. (718) 585-5100 (973) 643-3343 3181 North State Road 7 Middletown (954) 974-7695 Plaza Las Americas Woodbury Cohen’s Fashion Optical Location 186 Wakefield • Many serious, sight-threatening eye diseases do not have early warning signs or symptoms. Visual Affairs Galleria @ Crystal Run HUDSON Pembroke Pines (787) 777-0990 SAJO Optometric Care 7933 Jericho Turnpike (845) 692-5800 Jersey City 801 East 233rd Street (516) 921-3937 Cohen’s Fashion Optical Cohen’s Fashion Optical CAROLINA • The most effective method of detecting vision problems is a comprehensive eye exam (347) 603-7125 11401 Pines Blvd # 352 Blooming Grove Journal Square (954) 436-0966 Cohen’s Fashion Optical SUFFOLK Washington Eye Associates (201) 795-3434 Plaza Carolina performed by a doctor of optometry. White Plains Bayshore 2877 Route 94 Local 245 Sterling Optical Union City Sedano’s Sterling Optical (845) 496-9999 12538 Pines Boulevard (787) 701-3165 2168 White Plains Rd. South Shore Mall Crystal Lens Express (954) 430-4030 (718) 931-0500 1701 Sunrise Hwy. Monroe 3907 Bergenline Ave. Even if you do not wear eyeglasses, protect your eyesight by scheduling a complete eye exam. (631) 666-4960 Mid-Hudson Optometric (201) 865-8300 Plantation Member offices are STATEN ISLAND Associates independent Doctors of Stop & Shop Shop Center West Cohen’s Fashion Optical Cohen’s Fashion Optical 371 State Route 17M Broward Mall Optometry and Optical Stores General Vision @ 1701 Sunrise Highway (845) 782-3937 Lens Lab Express (954) 472-4777 Cohen’s Fashion Optical (631) 665-4700 of W. New York who have contracted with 2748 Hylan Blvd. Eye Supply of Bayshore Newburgh 59-17 Bergenline Ave. DADE GVS to provide services to (718) 979-2200 has closed. All patient files Sterling Optical (201) 861-0016 Hialeah those participants outside of are located at above 1401 Route 300 Sedano’s location (845) 564-3522 MIDDLESEX the New York Metropolitan 366 East 4th Avenue area where frame selection Cohen’s Fashion Optical East Brunswick (305) 888-2388 Staten Island Mall Bellport ROCKLAND Crown Eyecare Center may vary. (718) 698-6666 EyeCare Center of Bellport Nanuet Midstate Mall Miami 5 Bellport Lane Sterling Optical 300 Rte 18 North Cohen’s Fashion Optical Locations are subject to Sterling Optical (631) 286-4014 164 East Route 59 (732) 651-8188 7437 S.W. 88th Street change without notice. Staten Island Mall (845) 623-8074 (305) 665-1044 (718) 698-6020 East Northport Woodbridge Larkfield Optical Spring Valley Cohen’s Fashion Optical Dr. Adina Setren-Gould Forest Avenue 516 Larkfield Road Eye Glasses for Less 460 Dr. 11865-A SW 26th Street Shopping Center (631) 368-2020 205-4 Route 59 (732) 636-2112 (305) 552-9100 Specs For Less (845) 371-6640 Print Date: 1/30/13 Professional services provided by: 1489 Forest Ave. Print Amount: .15k (718) 727-5059 Account: 6747/6747M 1-800-VISION-1 • www.generalvision.com At any of the listed GVS Optical Providers, General Vision Participating receive the following benefits at NO COST to You: Provider Locations Please call 1-800-VISION-1 for Additional Locations and Information

NEW YORK Cohen’s Fashion Optical Richmond Hill Plan 1: GVS/PSC-CUNY SURCHARGE SCHEDULE 177 E. 86th St. General Vision @ (212) 426-1222 Cohen’s Fashion Optical Chelsea 115-10 Liberty Ave. General Vision @ Specs For Less (718) 323-6410 EYE EXAM: Comprehensive Eye Examination by Plastic Photosensitive Lenses: Cohen’s Fashion Optical 1904 Third Ave./105 St. 275 7th Ave. (25th Street) (212) 831-3162 Ridgewood Doctor of Optometry Single Vision $65.00 (212) 691-1709 General Vision Express Bifocal $80.00 Cohen’s Fashion Optical 57-52 Myrtle Ave. Our professional eye examination determines your Downtown 1369 (718) 497-2020 Trifocal $120.00 General Vision (212) 988-8505 prescription. It also aids the doctor in detecting High 52 Duane St. Woodside Hi-Index $130.00 (Btwn Bdwy & Lafayette St.) Upper West Side CN Vision Care Blood Pressure, Diabetes, Retinal Disorders, and Corneal (212) 513-0115 Cohen’s Fashion Optical 45-55 46th Street Standard Progressive $105.00 167 W. 72nd St. (718) 392-1244 Disorders. The examination also includes Cataract and Premium Progressive Retail Less 35% Pacific Optometry (212) 362-4110 87-89 Elizabeth St BROOKLYN Glaucoma Screening. Even if you do not wear eyeglasses, (212) 219-8260 Cohen’s Fashion Optical Bayridge protect your eyes by scheduling a complete eye 2933 Broadway Lens Lab Express Hi-Index: East Side (212) 662-0400 482 86th St. examination Cohen’s Fashion Optical 106 (718) 921-5488 ** Single Vision 1.60 $60.00 East 23rd Street Cohen’s Fashion Optical (Between Park and 2565 Broadway Bensonhurst ** Bifocal 1.60 $100.00 Lexington Ave.) (212) 666-2615 Cohen’s Fashion Optical ** Standard Progressives 1.60 $150.00 (212) 677-3707 2167 86th Street FRAMES: Selection of various frames Ultimate Spectacle (718) 946-3647 ** Premium Progressives 1.60 Retail Less 35% Cohen’s Fashion Optical 4250 Broadway Any style, any color, any size up to a retail value of $150* Bellevue Hospital (212) 795-5640 Mega Vision Center All Other High Index Lenses Retail Less 35% 462 First Ave. 187 Ave. U within the GVS Frame Collection. (bet. 27th and 28th St) West Side (718) 373-2020 (212) 689-9601 Cohen’s Fashion Optical 225 W. 34th Street Brownsville Polycarbonates: Smith Optometry (212) 239-6999 Cohen’s Fashion Optical 303 1710 Pitken Avenue LENSES: All First Quality Single Vision, Children 16yrs and under No Charge (212)532-3210 General Vision (718) 342-5500 Single Vision $30.00 20 West 14th St. Conventional Bifocal, Blended Bifocal, Harlem (212) 229-1410 Caesar’s Bay Bifocal $50.00 Cohen’s Fashion Optical General Vision Standard Progressive, Trifocal, Cataract, Safety & 86 West 125th St. QUEENS 8949 Bay Parkway Standard Progressives $80.00 (212) 996-2676 Astoria 718-372-1212 Oversize lenses. Polycarbonate lenses for Premium Progressive Retail Less 35% General Vision Added Value Savings Inwood 30-42 Steinway St. Canarsie Superior Vision Center (718) 726-5503 Perfect Eye Care children 16 years and under. These services are not covered by your vision plan. 4767 Broadway Location relocated 1944 Ralph Ave. (212) 567-9351 All patient files will be at (718) 763-2020 Polarized Lenses: $85.00 Cohen’s Fashion Optical Lower East Side 30-95 Steinway Street Coney Island TINTS & COATINGS: Cosmetic & Rx Sunglass Cohen’s Fashion Optical (718) 274-3500 Mermaid Optical 33 Maiden Lane 2819 Mermaid Ave Tint. UV & Scratch Resistant coating.** Coatings: (212) 232-0065 Cohen’s Fashion Optical (718) 265-6066 22-19 31st St. Standard Anti-Reflective $25.00 Cohen’s Fashion Optical (718) 777-7678 Crown Heights Premium Anti-Reflective Retail Less 35% Eyewear Discounts 117 Orchard Street Franklin Primary Eye Care (212) 674-1986 Bayside 847 Franklin Avenue OR INSTEAD OF EYEGLASSES... Cohen’s Fashion Optical (718) 604-1002 % Midtown East Bay Terrace Shopping Center Progressives: 30 Discount Off Cohen’s Fashion Optical 211-51 26th Ave. Downtown 545 Fifth Avenue. (718) 631-3699 General Vision @ *Premium Progressives (i.e. Varilux Comfort) $90.00 any complete pair of glasses or contact lenses for (212) 697-0915 Court Street CONTACT LENSES: 3 month supply (2 Boxes, 12 Eye Supply of Bayside 66 Court Street Premium Plus Progressives Retail Less 35% yourself or family members not covered by your plan. Cohen’s Fashion Optical 39-25 Bell Blvd. (btwn Joralemon & Lenses) of Basic Disposable Contact Lenses. 50 East 42nd St. (718) 279-2020 Livingston St.) (212) 697-1838 (718) 625-0025 *No charge with Doctors Prescription Corona *Member offices will offer a frame selection up to $100. ** 1.60 indicates the thinness of a lens $ 00 Cohen’s Fashion Optical Lens Lab Express of Corona East New York 5 Discount Off 385 Fifth Avenue 37-40 Junction Blvd. Eyesite Vision II ** UV & Scratch resistant coatings are not included at member offices. (212) 510-8601 (718) 507-8114 1125 Liberty Ave. Any additional services that surpass the benefit are the responsibility of comprehensive eye examinations, for yourself (718) 235-7900 NOTE: The above surcharges are subject to change. Smith Optometry Elmhurst the patient. Eyeglass loss insurance is available for a fee. Eyeglasses are or family members not covered by the plan. 303 Fifth Avenue Cohen’s Fashion Optical Flatbush warranteed up to one year against manufactures defects. GVS will notify PSC CUNY Welfare fund of any changes (212) 679-0766 General Vision @ 90-15 Queens Blvd. Flatbush Avenue Account # 6747/6747M within 30 days notice Midtown West (718) 592-5200 2504 Flatbush Ave. 293 368 Account # 9475 Cohen’s Fashion Services Across from Mall 77% 100% 603 6th Avenue Far Rockaway (718) 253-7700 (212) 924-1390 Emani and Divine Eyes 1058 Beach 20th Street Cohen’s Fashion Optical Cohen’s Fashion Optical (718) 474-0064 1704 Church Avenue 539 8th Ave. (37th St) (718) 684-5000 (212) 792-8133 Flushing Excel Optical Lens Lab Express of Flatbush Plan 2: General Vision 43-48 Colden Street 972 Flatbush Ave. 330 West 42nd St. (718) 961-5060 (718) 826-0005 (bet. 8th/9th Ave.) (212) 594-2831 Bayside Fashion Optical Fort Greene DEPENDENT CHILDREN ONLY: OFF year 58-47 Francis Lewis Blvd. Family Vision Center Cohen’s Fashion Optical (718) 224-5500 1023 Church Ave. 130 West (718) 826-1234 (212) 581-4967 Forest Hills eyeglasses benefit for dependent children, Mail Order Contact Lenses General Vision @ Sterling Optical Upper East Side Cohen’s Fashion Optical 524 Clarkson Ave. Ultimate Spectacle 116-53 Queens Blvd. (718) 778-3036 please refer to account #6753. 789 Lexington Ave (718) 261-3540 % (bet. 61st/62nd Sts.) Kings Highway (212) 792-8123 Jackson Heights Kings Highway Vision Center 15 OFF Cohen’s Fashion Optical 1302 Kings Highway General Vision @ 37-33 82nd St. Corner of E. 13th Street Metropolitan Hospital (718) 458-8800 718-627-8900 Every Contact Lens Purchase 1901 First Ave. Room 1D18-1st Fl. Jamaica Kings Plaza Mall (212) 423-0665 Lens Lab Express/GVS Cohen’s Fashion Optical 163-34 Jamaica Ave. 5171 Kings Plaza Mall Cohen’s Fashion Optical (718) 526-2332 (718) 951-9800 830 Third Avenue (50th St.) For Eligibility and to Utilize Your Vision Benefit: Promotion Code: GVS15OFF (212) 750-9005 Eyecare Express Park Slope 221-05 Jamaica Ave. Cohen’s Fashion Optical Contact your fund office at 212-354-5230 to inquire about eligibility, then call any of the listed Cohen’s Fashion Optical (718) 465-9500 298 7th Ave. 767 Lexington Ave (60th St.) (718) 768-3939 stores for a convenient eye exam appointment. (212) 751-6652 Middle Village Call: 1-800-ANY-LENS MMJ Jeweler Sheepshead Bay Cohen’s Fashion Optical 66-26 Metropolitan Avenue Vogue Optical 681 Lexington Ave. (718) 366-8193 3723 Nostrand Ave. Or Visit: www.1800anylens.com (212) 317-0067 (718) 646-6200