Order Contact Lenses

CONTACT LENS ORDER FORM (available for existing patients only)

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Brand of Contact Lens *

Supply Requested *

3 months supply 6 months supply Annual Supply (Free Ship to Work/Home) Other

Rebates may be available on 6 months or annual supply. Call to inquire.

Comment *

Submit

Monday to Friday 10 am - 9 pm
Saturday 9:30 am - 6 pm
Sunday 12 pm - 5 pm
* Doctor hours may vary - please call us to book an appointment*

TEL (647) 748-2018

FAX (647) 689-2018

info@bayviewvillageeyecare.com
23B - 2901 Bayview Ave.
North York ON M2K 1E6
Located inside of Squint Eyewear