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Invoice Optometrist in Germany Munich –Free Word Template Download with AI

Dr. med. Thomas Weber

Licenced Optometrist & Ophthalmologist

Maximilianstraße 35, 80539 Munich, Germany

VAT ID: DE 123 456 789

Phone: +49 89 1234 5678 | Email: [email protected]

Invoice No: INV-2023-10-042

Date: October 24, 2023

Due Date: November 24, 2023

Bill To

Julia Schneider

Leopoldstraße 112

80802 Munich, Germany

Insurance ID: GKV-99887766

Service Details

Service Date: October 20, 2023

Location: Munich Vision Clinic

Reference: Comprehensive Eye Exam

Payment Method: Bank Transfer

# Description of Services Quantity Unit Price (EUR) Total (EUR)
1 Comprehensive Ophthalmological Examination
Includes visual acuity testing, refraction, and intraocular pressure measurement performed by a licensed optometrist in Munich.
1 120.00 120.00
2 Dilated Fundus Examination
Detailed inspection of the retina and optic nerve to detect early signs of glaucoma or diabetic retinopathy.
1 85.00 85.00
3 Premium Anti-Reflective Coating
Applied to prescription lenses to reduce glare and improve night vision clarity.
1 65.00 65.00
4 Blue Light Filtering Lenses
Specialized lenses designed to filter harmful blue light from digital screens.
1 95.00 95.00
5 Consultation Fee
Professional consultation regarding vision correction options and eye health maintenance.
1 45.00 45.00
Subtotal: 410.00 EUR VAT (19%): 77.90 EUR Insurance Reimbursement (Est.): -150.00 EUR Total Due: 337.90 EUR

Payment Instructions & Terms

Please transfer the total amount due to the following bank account within 30 days of the invoice date:

Bank: Bayerische Landesbank
IBAN: DE89 7005 0000 0000 1234 56
BIC: BYLADEM1001
Reference: INV-2023-10-042

Important Notice for Patients in Germany:
This invoice reflects services provided by a certified optometrist in Munich. Please note that statutory health insurance (Gesetzliche Krankenversicherung) may cover a portion of the examination costs, but premium lens coatings and specialized treatments are often considered supplementary services (Zusatzleistungen) and are billed directly to the patient. If you have private health insurance, please submit this invoice to your provider for potential reimbursement. Late payments may incur interest charges in accordance with German commercial law.

Munich Vision Optometry | Maximilianstraße 35, 80539 Munich, Germany

Registered at the Munich Commercial Register | VAT ID: DE 123 456 789

Thank you for trusting our professional optometry services.

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