Name: Little Lake Family Eye Care
Address: 11 Lakeside Terrace #102, Barrie, ON, L4M 0H9, CA
Telephone: 705-503-3937

To order contacts from our office please fill out the form and we will contact you as soon as possible to verify your order. For urgent orders please call our office at 705-503-3937.

Have you ordered contact lenses with us before?*

Yes
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Delivery Options*

Pick up at store
Ship to me

Brand of Contact Lenses

Other Brand

Type of Lens

Spherical
Astigmatism or Toric
Multifocal

Amount

Other Amount

First Name*

Last Name*

Email*

Will you be using vision insurance?*

Yes
No

Phone

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Little Lake Family Eye Care

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