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 Choose Your Frame Type
   Classic         $30
   Semi-Rimless $80
   Rimless         $85
   Designer     $100+
   Sun Glasses $199
   Safety         $80+
 
 or Your Sun Glasses
   Prescription            $80+
   Designer Sunglasses $80+
 
 or Your Lense Type
 Single Vision      $100+Free
 Bifocal               $200+$80
 Progressive       $250+$100
 Trans Bifocal     $350+$180
 Trans Progres    $450+$200
 

Licensed Opticians Registered with the College of Opticians in Ontario
 
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 Prescription Lens Form

This form is for prescription lens order only. If you already have a frame and would like to fill in your prescription, fill in this form and send your frames to Super Eye Spex Optical, 2810 Matheson Blvd East, Suite 134, Mississauga, Ontario, L4W 4X7

High index lenses, any thing above +/-3 will be an extra $30 charge. So if you have high index prescription e.g +/-4, +/-5 or +/-6 and you like to have a thin lens, we would have to use 1.6 high index lenses, hence extra charge.

We use lightweight CR39 plastic lenses for most of our glasses. For our 'thin' lenses, we use 1.6 high-index lenses. We do not offer glass lenses, but we offer a free anti-scratch coating on all our lenses.

CHOOSE YOUR LENSE (optional):

LENS THICKNESS:  
Single Vision $100 Free
Bifocal Lens ( with a line) $200 $80
Progressive lens ( bifocal without line) +$250.00 $100
Transition Bifocal Lenses +$350.00 $180
Transitional Progressive Lenses +$450.00 $200

CHOOSE YOUR COATING(optional):

Anti-reflective coating  $40
UV 400 protective coating  $60
Scratch resistant coating  FREE

Enter your glasses prescription:

EYE
SPH
CYL
AXIS
ADD
  PD
Right (OD)
Left (OS)

PLEASE CHOOSE YOUR TINT COLOR: +$60

 
Darker Tints are for Sunglasses (Grey, Brown & G-15)
Clear - Included
Yellow Blue Orange G-15
Rose Grey Brown

SHIPPING INFORMATION

Mr. Mrs. Ms. Miss.
Patient Name:
Address:
 (or Company Name and Address)
 
 (or Buzzer Code)
City:
Province:
Country: CANADA
Postal Code:
Phone:
Email:
Coupon Code*:
How did you hear about us:
Additional Information ( tell us your color option) : >

Order Summary:
SHIPPING: $9.99  
GST: $0.00  
TOTAL:
  


(Optional) I would like to have my prescription refilled every month(s)
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