Who should I see about blepharitis and irritation from contacts?

I am planning to see an eye doctor about a few different minor problems, as well as a routine exam and new prescription. I have had a continuous problem with possibly blepharitis and tiny bumps on my eyelids. Should I start off with an optometrist, or would an ophthalmologist know more about this? Last time I... show more I am planning to see an eye doctor about a few different minor problems, as well as a routine exam and new prescription. I have had a continuous problem with possibly blepharitis and tiny bumps on my eyelids. Should I start off with an optometrist, or would an ophthalmologist know more about this?

Last time I went to an optometrist he didn't help me much to solve my contact irritation problem. But maybe I just need a better one. I do not have insurance, so I'd like to just go to one or the other, not both.
Update: I do not have insurance at all, so I don't have a regular doctor right now. Will an ophthalmologist see you without a referral?
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