Order Contact Lenses Online

Name: Brampton Family Eye Care
Address: 65 Montpelier Street, Unit #E-103, Brampton, ON, L6Y 6H4, CA
Telephone: 905-497-1422
Price range: $000 - $300

Order Contact Lenses

Name*
First Last
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
Do you have vision insurance?*
- Yes
- No
Provider Name (optional)
Plan ID (optional)
How many boxes of contact lenses?*
Have you had an exam within the last 12 months?*
- Yes
- No
Do you have a current prescription?*
- Yes
- No
Has your RX expired within the last 60 days?
- Yes
- No
What brand of contacts do you want to purchase?
Address where you would like lenses shipped*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Thank you for your contact lenses request. One of our staff members will be in touch with you shortly to confirm your order

Order Contact Lenses

Brampton Family Eye Care

Brampton Family Eye Care in Brampton, ON