A contact lens prescription must include:
(1) ophthalmic information necessary to fabricate or dispense the lenses accurately, including the lens manufacturer, lens series, and the lens material, if applicable;
(2) the diameter, axis, add power, cylinder, peripheral curve, optical zone, and center thickness, where applicable;
(3) power and base curve;
(4) name, license number, telephone number and, for written orders, the signature of the prescribing optometrist or ophthalmologist;
(5) patient's name and address, expiration date of the prescription, and number of refills or lenses permitted; and
(6) the date of issuance.