Your Vision Benefits

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1 100 Bonus Check Enclosed Your Vision Benefits For Eligible Members & Dependents of UFCW Local 1500 Welfare Fund Account:6883/6883M WHY SHOULD I SCHEDULE MY COVERED EYE EXAM TODAY? Ninety percent of people age 45 and over need eyeglasses. Many serious, sight-threatening eye diseases do not have early warning signs or symptoms. The most effective method of detecting vision problems is a comprehensive eye exam performed by a doctor of optometry. Even if you do not wear eyeglasses, protect your eyesight by scheduling a complete eye exam. Professional services provided by: VISION-1

2 At any of the listed GVS Optical Providers, receive the following benefits at NO COST to You: Eye Exam: Comprehensive Eye Examination by Doctor of Optometry* Our professional eye examination determines your prescription. It also aids the doctor in detecting High Blood Pressure, Diabetes, Retinal Disorders, and Corneal Disorders. The examination also includes Cataract and Glaucoma Screening. Even if you do not wear eyeglasses, protect your eyesight by scheduling a complete eye examination. Frames: Selection of various frames Any style, any color, any size up to a retail value of 100** within the GVS Frame Collection. Lenses: All First Quality Single Vision, Conventional Bifocal, Standard Progressive, Trifocal, Safety & Oversize lenses. Tints & Coatings: Cosmetic & Rx Sunglass Tint. OR Instead of Eyeglasses... Contact Lenses: Soft Standard Daily Wear Spherical Contact Lenses (Where available) OR 3 month supply (2 Boxes, 12 Lenses) of Basic Disposable Contact Lenses OR One credit of 100 towards any other contacts. * Please make an appointment, Doctors hours may vary from store hours. **Member offices will offer a frame selection up to 80. Any additional services that surpass the benefit are the responsibility of the patient. Account # 6883/6883M For Eligibility and to Utilize Your Vision Benefit: Members please call your Fund Office at Ext or Ext for the Medical Department to obtain an Optical Voucher. Then call one of the listed stores for a convenient eye exam appointment. Cut out and present at time of service Cut out and present at time of service Cut out and present at time of service 100 GVS Bonus Check To be used towards an additional pair of Eyeglasses For Members of UFCW Local 1500 Welfare Fund This 100 GVS gift check, can be used for family members not eligible for the benefit or for eligible members purchasing a second pair of eyeglasses or prescription sunglasses. Minimum purchase must be 150, and cannot be combined with vouchers or any other offers, sales and specials. This is not redeemable for cash.

3 Participating Provider Locations Please call VISION-1 for Additional Locations and Information Added Value Savings These services are not covered by your vision plan. Eyewear Discounts 30 % Discount Off any pair of glasses or contact lenses for yourself or family members not covered by your plan Discount Off comprehensive eye examinations, for yourself or family members not covered by the plan % % Account # 9475 Mail Order Contact Lenses 5.00 OFF Every Contact Lens Purchase On purchases over Promotion Code: GVS5OFF Call: ANY-LENS Or Visit: NEW YORK MANHATTAN Chelsea 275 7th Ave. (25th Street) (212) Duane St. (Btwn Bdwy & Lafayette St.) (212) Pacific Optometry Elizabeth St (212) East Side 106 East 23rd Street (Between Park and Lexington Ave.) (212) Bellevue Hospital 462 First Ave. (bet. 27th and 28th St) (212) Harlem 86 West 125th St. (212) Inwood Superior Vision Center 4767 Broadway (212) Lower East Side 33 Maiden Lane (212) Orchard Street (212) Midtown East 545 Fifth Avenue. (212) East 42nd St. (212) Fifth Avenue (212) Smith Optometry 303 Fifth Avenue (212) Midtown West Cohen s Fashion Services 603 6th Avenue (212) th Ave. (37th St) (212) West 42nd St. (bet. 8th/9th Ave.) (212) West 57th Street (212) Upper East Side Ultimate Spectacle 789 Lexington Ave (bet. 61st/62nd Sts.) (212) Metropolitan Hospital 1901 First Ave. Room 1D18-1st Fl. (212) Third Avenue (50th St.) (212) Lexington Ave (60th St.) (212) Lexington Ave. (212) E. 86th St. (212) Third Ave./105 St. (212) Third Avenue (212) Upper West Side 167 W. 72nd St. (212) Broadway (212) Broadway (212) Ultimate Spectacle 4250 Broadway (212) West Side 20 West 14th St. (212) QUEENS Astoria Steinway St. (718) Location relocated All patient files will be at Steinway Street (718) st St. (718) Bayside Bay Terrace th Ave. (718) Eye Supply of Bayside Bell Blvd. (718) Corona of Corona Junction Blvd. (718) Elmhurst Queens Center Mall Queens Blvd. (718) Far Rockaway Emani and Divine Eyes 1058 Beach 20th Street (718) Flushing Excel Optical Colden Street (718) Bayside Fashion Optical Francis Lewis Blvd. (718) Forest Hills Queens Blvd. (718) Jackson Heights nd St. (718) Jamaica /GVS Jamaica Ave. (718) Eyecare Express Jamaica Ave. (718) Richmond Hill Liberty Ave. (718) Ridgewood Express Myrtle Ave. (718) Woodside CN Vision Care th Street (718) BROOKLYN Bayridge th St. (718) Bensonhurst th Street (718) Mega Vision Center 187 Ave. U (718) Brownsville 1710 Pitken Avenue (718) Caesar s Bay 8949 Bay Parkway Canarsie Perfect Eye Care 1944 Ralph Ave. (718) Coney Island Mermaid Optical 2819 Mermaid Ave (718) Crown Heights Franklin Primary Eye Care 847 Franklin Avenue (718) Court Street 66 Court Street (btwn Joralemon & Livingston St.) (718) My Unique Optique 324 Atlantic Avenue (718) East New York Eyesite Vision II 1125 Liberty Ave. (718) Flatbush Flatbush Avenue 2504 Flatbush Ave. (718) Church Avenue (718) of Flatbush 972 Flatbush Ave. (718) Fort Greene Family Vision Center 1023 Church Ave. (718) Clarkson Ave. (718) Kings Highway Kings Highway Vision Center 1302 Kings Highway

4 Participating Provider Locations Please call VISION-1 or visit for Additional Locations in NY, NJ, CT & FL and Information Kings Plaza Mall 5171 Kings Plaza Mall (718) Park Slope 298 7th Ave. (718) Sheepshead Bay Vogue Optical 3723 Nostrand Ave. (718) Sunset Park th Ave. (718) Williamsburg of Graham Ave. 28 Graham Ave. (718) BRONX Lincoln Hospital 234 East 149th St. Room 2-A3 (718) Broadway Broadway Eyecare 5571 Broadway (718) Bruckner Vision Quest Optical 880 White Plains Rd. (718) Co-Op City Bronx Eyecare 2075 Bartow Ave. (718) Jerome Ave. (718) Fordham Bronx Eyecare 2374 Grand Concourse (718) Hunts Point 940 Southern Blvd. (718) Location Closed. All patients can visit Vision Quest Optical 880 White Plains Rd. (718) Jerome Avenue 3416 Jerome Avenue (718) Parkchester Designer Optical 1440 Metropolitan Ave. (347) Pelham Parkway Bronx Eye Associates 665 Pelham Parkway Suite 202 (718) South Bronx (formerly Eye Encounter/ Optic Zone) 2856 Third Ave. (718) Wakefield SAJO Optometric Care 801 East 233rd Street (347) White Plains 2168 White Plains Rd. (718) STATEN ISLAND Stop & Shop Shop Center 2748 Hylan Blvd. (718) (718) (718) Forest Avenue 1489 Forest Ave. (718) Greenridge Plaza 3245 Richmond Ave. (718) Southshore Commons 2935 Veterans Road West (718) NASSAU Bellmore New Location Vision People 2766 Sunrise Highway (516) Garden City Roosevelt Field (516) Freeport Eyeworld Optical 185 West Merrick Road (516) Hicksville 232 Old Country Rd. (516) Location relocated All patient files will be at 210 Broadway Mall (516) Levittown 3543 Hempstead Tpke. (516) Massapequa 224 Sunrise Mall (516) New Hyde Park Eye Land Vision Center 665 Hillside Ave. (516) Oceanside Vision Decision 40 Atlantic Avenue (516) Rockville Centre 560 Sunrise Hwy. (516) South Farmingdale Eyeglass Depot Optical 60 Willow Park Center Valley Stream Green Acres Mall (516) West Hempstead 500 Hempstead Tpke. (516) SUFFOLK Bayshore South Shore Mall 1701 Sunrise Hwy. (631) Sunrise Highway (631) Eye Supply of Bayshore has closed. All patient files are located at above location Bellport EyeCare Center of Bellport 5 Bellport Lane (631) East Northport Larkfield Optical 516 Larkfield Road (631) Greenport Greenport Eyeworks 137 Third St. (631) Holbrook 5801 Sunrise Hwy (631) Huntington Station 259 Walt Whitman Rd. (631) Islandia Islandia 1744 Veterans Memorial Hwy. (631) Lake Grove Smithhaven Mall (631) Lindenhurst 350 East Montauk Hwy. (near Park Ave.) (631) Patchogue Gateway Plaza Sunrise Highway (631) Port Jefferson Eye Supply of Port Jefferson 1092 Route 112 (631) Riverhead Riverhead Plaza 755 Old Country Rd. (631) Shirley Southport Montauk Hwy. (631) DUTCHESS Poughkeepsie Poughkeepsie Galleria (845) ORANGE Middletown Crystal Run (845) Blooming Grove Washington Eye Associates 2877 Route 94 (845) Monroe Mid-Hudson Optometric Associates 371 State Route 17M (845) Newburgh 1401 Route 300 (845) ROCKLAND Nanuet 164 East Route 59 (845) West Nyack Palisades Mall 2641 Palisades Center Drive (845) WESTCHESTER Peekskill Dr. Vernon Peryea 1865 Main Street (914) White Plains The Galleria (914) Yonkers Cross County (914) Yonkers Eyewear Optical 442 South Broadway (914) Yorktown Heights Yorktown Heights 650 Lee Blvd NEW JERSEY BERGEN Dumont Dumont Eye Care 125 Washington Ave. (201) Paramus of Paramus 193 Route 17 South (201) Garden State Plaza (201) ESSEX East Orange 582 Central Ave. (973) Cedar Grove 466 Pompton Ave. (973) Livingston Invision Eye Care 57 East Mt. Pleasant Ave. (973) Monroe Township Dr. Michael Hayes 477 Spotswood- Englishtown Rd (732) Newark Urban Eyes 787 Broad Street (973) HUDSON Jersey City Journal Square (201) Union City Crystal Lens Express 3907 Bergenline Ave. (201) West New York of W. New York Bergenline Ave. (201) MIDDLESEX East Brunswick Crown Eyecare Center Midstate Mall 300 Rte 18 North (732) Woodbridge 460 Woodbridge Center Dr. (732) MONMOUTH Keyport Specs for Less of Keyport 1 Route 35 South (732) MORRIS Rockaway Rockaway Town Square Mall (973) PASSAIC Paterson Eye Contact Optical 165 Main St. (973) Passaic Crystal Lens Optical 670 Main Avenue (973) UNION Elizabeth 651 Kapkowski Road Jersey Gardens Mall (908) of Elizabeth 1167 Dickinson St. (908) CONNECTICUT FAIRFIELD Danbury Danbury Fair Mall 7 Backus Rd. (203) HARTFORD Farmington 113 West Farms Mall (860) FLORIDA BROWARD Coral Springs Optical Eyeworks 8124 Wiles Road (954) Margate Eye Care Center 3181 North State Road 7 (954) Pembroke Pines Pines Blvd # 352 (954) Sedano s Pines Boulevard (954) Plantation Broward Mall (954) DADE Hialeah Sedano s 366 East 4th Avenue (305) Miami 7437 S.W. 88th Street (305) Dr. Adina Setren-Gould A SW 26th Street (305) LEE Ft. Myers 4125 Cleveland Avenue (239) PALM BEACH Greenacres Lake Worth Vision 6486 Lake Worth Road (561) Boca Raton South Shore Opticians 1944 N.E. Avenue Plaza (561) PORT CHARLOTTE Port Charlotte Progressive Optical Olean Blvd. (941) ST LUCIE Port St. Lucie St. Lucie Vision Center South Federal Highway (772) MASSACHUSETTS BRISTOL Fairhaven 33 Berdon Way (508) ESSEX Peabody Oxford Valley Mall 2300 East Lincoln Highway (215) Swampscott Advanced Vision Center 423 Paradise Road (339) PENSYLVANIA BUCKS Langhorne Oxford Valley Mall 2300 East Lincoln Highway (215) PUERTO RICO HATO REY Plaza Las Americas Location 186 (787) CAROLINA Plaza Carolina Local 245 (787) Member offices are independent Doctors of Optometry and Optical Stores who have contracted with GVS to provide services to those participants outside of the New York Metropolitan area where frame selection may vary. Locations are subject to change without notice. Print Date: 1/23/13 Print Amount:.05 Account: 6633/6633M

5 Dear Members & Family, We are pleased to announce that Services (GVS), one of our preferred optical providers, is expanding your vision benefit for a limited time. To enhance your benefit, GVS is offering a 50 check (below) to be used by you or a family member. If you have vision coverage, you can use the check with your current benefit reducing any surcharges or upgrades for eyeglasses. If you have already used your optical benefit, you can still use the check toward any complete pair of eyeglasses in addition to the GVS 30% discount. If you need additional checks for you or your family, please call your benefits office. If you need an eye exam, call one of the convenient locations on the reverse side for an appointment to see our new full line of contemporary frames. ONLY THE STORES LISTED ON THE BACK OF THIS FLYER WILL PARTICIPATE IN THIS PROMOTION! Fraternally yours, UFCW Local 1500 Board of Trustees 50 for You and Your Family... To enhance your benefit, GVS is offering an additional 50 to be used by you or a family member. If you have vision coverage, you can use this 50 bonus with your current benefit reducing any surcharges or upgrades for eyeglasses. If you have already used your optical benefit, you can still use this bonus toward any complete pair of eyeglasses in addition to the GVS 30% discount. Expires Coupon must be presented at time of order. Not redeemable for cash

6 Participating GVS Locations NEW YORK MANHATTAN All Eyes on Eyes 275 W 125th Street (212) Vistacare Eyecare 817 W. 181st St (212) Lexington Optical 2058-B Lexington Ave. (212) E 86th Street (212) Chelsea 275 7th Ave. (25th Street) (212) Greenwich Ave. (212) Duane St. (Btwn Bdwy & Lafayette St.) (212) East Side 106 East 23rd St. (212) Inwood Superior Vision Center 4767 Broadway (212) Lower East Side 33 Maiden Lane (212) Orchard Street (212) Second Avenue (212) Midtown East 545 Fifth Avenue. (212) East 42nd St. (212) Fifth Avenue (212) Midtown West Cohen s Fashion Services 603 6th Avenue (212) th Avenue (37th St.) (212) West 42nd St. (bet. 8th/9th Ave.) (212) Upper East Side Metropolitan Hospital 1901 First Ave. Room 1D18-1st Fl. (212) Third Avenue (50th St.) (212) Lexington Ave (60th St.) (212) Lexington Ave. (212) Third Ave./105 St. (212) Upper West Side 167 W. 72nd St. (212) Broadway (212) Broadway (212) Ultimate Spectacle 4250 Broadway (212) West Side 2 West 14th St. (212) West 14th St. (212) QUEENS Astoria Steinway St. (718) Location relocated All patient files will be at Steinway St. (718) Bayside Bay Terrace Shop. Center th Ave. (718) Eye Supply of Bayside Bell Blvd. (718) Corona of Corona Junction Blvd. (718) Elmhurst Queens Center Mall Queens Blvd. (718) Far Rockaway Emani and Divine Eyes 1058 Beach 20th Street (718) Forest Hills Queens Blvd. (718) Jamaica /GVS Jamaica Ave. (718) Jackson Heights nd St. (718) Eyecare Express Jamaica Ave. (718) Richmond Hill Liberty Ave. (718) Ridgewood Express Myrtle Ave. (718) BROOKLYN Bensonhurst Family Vision th Street (718) Midwood Family Vision 1714 Avenue M (718) National Optical Outlet th St (718) Fulton Street (718) Bayridge th St. (718) Bensonhurst Mega Vision Center 187 Ave. U (718) Caesars Bay Services 8949 Bay Parkway Coney Island Mermaid Optical 2819 Mermaid Ave (718) Court Street 66 Court Street (btwn Joralemon & Livingston St.) (718) Flatbush Flatbush Avenue 2504 Flatbush Ave. (718) of Flatbush 972 Flatbush Ave. (718) Family Vision Center 1023 Church Ave. (718) Clarkson Ave. (718) Kings Plaza Mall 5171 Kings Plaza Mall (718) Midwood Kings Highway Optical 1302 Kings Hwy. (718) Parkslope 298 7th Avenue (718) Sheepshead Bay Vogue Optical 3723 Nostrand Ave. (718) Williamsburg of Graham Ave. 28 Graham Ave. (718) BRONX Lincoln Hospital 234 East 149th St. Room 2-A3 (718) Cohens Fashion Optical 138 Fordham Rd (718) Cohens Fashion Optical 5572 Broadway (718) (formerly Eye Encounter/Optic Zone) 2856 Third Ave. (718) Bruckner Blvd (718) Bruckner Vision Quest Optical 880 White Plains Rd. (718) Co-Op City Bronx Eyecare Optical 2075 Bartow Avenue (718) Fordham Bronx Eyecare 2374 Grand Concourse (718) Jerome Avenue 3416 Jerome Ave. (718) Parkchester Designer Optical 1440 Metropolitan Avenue (347) Pelham Manor 2168 White Plains Rd. (718) Pelham Parkway Vision Center 735 Lydig Avenue (718) Bronx Eye Associates 665 Pelham Pkwy. Ste. 202 (718) Vision World Hugh Grant 49 Hugh Grant Circle (718) Wakefield SAJO Optometric Care 801 East 233rd Street (347) STATEN ISLAND Stop & Shop Shop. Center 2748 Hylan Blvd. (718) (718) Richmond Ave. (718) Forest Avenue 1489 Forest Ave. (718) Greenridge Plaza 3245 Richmond Ave. (718) Veterans Road West Specs for Less 2935 Veterans Road West (718) NASSAU Bellmore Vision People 2766 Sunrise Highway (516) Garden City Roosevelt Field (516) Hicksville Service 232 Old Country Road As of March 11, Broadway Mall (516) Broadway Mall (516) Massapequa 224 Sunrise Mall (516) New Hyde Park Eye Land Vision Center 665 Hillside Ave. (516) Plainview Optical Image 86 Manetto Hill Mall (516) Valley Stream Valley Eyes 190 West Merrick Rd. (516) Green Acres Mall (516) West Hempstead 412 Hempstead Tpke. (516) SUFFOLK Bay Shore 1701 Sunrise Highway (631) Montauk Highway (631) South Shore Mall 1701 Sunrise Hwy. (631) Dix Hills Vision World 705 A Old Country Rd. (631) East Northport Larkfield Optical 516 Larkfield Road (631) Lake Grove Smithhaven Mall (631) Smithhaven Mall (631) Lindenhurst 350 East Montauk Hwy. (near Park Ave.) (631) Patchogue Gateway Plaza Sunrise Highway (631) Port Jefferson Rt.112, Jefferson Plaza (631) Riverhead Riverhead Plaza 755 Old Country Rd. (631) Shirley Southport Montauk Hwy. (631) Stony Brook Brooktown Plaza 2194A Rt. 347, (631) DUTCHESS Poughkeepsie Poughkeepsie Galleria (845) ORANGE Middletown Crystal Run (845) ROCKLAND West Nyack Palisades Center Mall 2641 Palisades Center Drive (845) WESTCHESTER Port Chester Kohls 431 Boston Post Road (914) NEW JERSEY BERGEN Paramus 193 Route 17 South (201) ESSEX East Orange 582 Central Ave. (973) Monroe Township Avenue Eyewear 477 Spotswood-Englishtown Rd (732) Cedar Grove 466 Pompton Ave. (973) Newark Urban Eyes 787 Broad Street (973) HUDSON West New York of W. New York Bergenline Ave. (201) MIDDLESEX Woodbridge 460 Woodbridge Center Dr. (732) MONMOUTH Keyport Specs for Less of Keyport 1 Route 35 South (732) MORRIS Rockaway Rockaway Town Square Mall (973) SOMERSET Bridgewater 400 Commons Way (908) Eatontown 180 Route 35 South Hill (732) UNION Elizabeth of Elizabeth 1167 Dickinson St. (908) Kapkowski Rd Jersey Gardens Mall (908) CONNECTICUT FAIRFIELD Danbury Danbury Fair Mall 7 Backus Rd. (203) HARTFORD Farmington 113 West Farms Mall (860) NEW HAVEN Milford 1201 Boston Post Road (203) MASSACHUSETTS BRISTOL Fairhaven 33 Berdon Way (508) PUERTO RICO HATO REY Plaza Las Americas Location 186 (787) CAROLINA Plaza Carolina Local 245 (787) Locations are subject to change without notice. Print Date: 1/23/13 Print Amount:.05k Account: 6883/6883M.

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