Payments

Name: Lakeside Vision
Address: 74 Welwood Ave, Ste 102, Hawley, PA, 18428, US
Telephone: 570-226-1300
Price range: $000 - $300

Patient's Name(Required)

First Last

What's the payment for?(Required)

Outstanding Balance on the Account

Partial Payment of Account Balance

Contacts Purchase

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Outstanding Balance on the Account

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Partial Payment of Account Balance

(please enter payment amount)

Contacts Purchase

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Amount of Payment:

Billing Address for the cardholder(Required)

Street Address Address Line 2 City State ZIP Code

Cardholder's Phone Number(Required)

Cardholder's Email Address(Required)

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

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Lakeside Vision

74 Welwood Ave, Ste 102
Hawley, PA 18428

Phone: 570-226-1300
Email: greateyecare@lakesidevision.com
(Do not send personal health information by email.)

We Are Open One Saturday per month (call for availability)

Our Optical Department opens at 9 am

Speak Field

Lakeside Vision
74 Welwood Ave, Ste 102
Hawley, PA 18428
Phone: 570-226-1300
https://www.lakesidevision.com

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