Invoice Optometrist in Japan Tokyo –Free Word Template Download with AI
1-2-3 Jinnan, Shibuya-ku, Tokyo 150-0041, Japan
Tel: +81-3-1234-5678 | Email: [email protected]
Corporate Number: T1234567890123
Professional Optometry Services
Bill To
Mr. Kenji Tanaka
4-5-6 Omotesando, Minato-ku
Tokyo 107-0062, Japan
Phone: +81-90-8765-4321
Email: [email protected]
| Description of Services | Quantity | Unit Price (JPY) | Total (JPY) |
|---|---|---|---|
|
Comprehensive Ophthalmic Examination Includes visual acuity testing, refraction, intraocular pressure measurement, and binocular vision assessment performed by a licensed Optometrist in Tokyo. |
1 | 15,000 | 15,000 |
|
Advanced Retinal Imaging (OCT Scan) Optical Coherence Tomography for detailed cross-sectional imaging of the retina to detect early signs of macular degeneration or glaucoma. |
1 | 10,000 | 10,000 |
|
Custom High-Index Lenses (1.74 Index) Premium aspheric lenses with anti-reflective coating, blue light filter, and scratch resistance. Sourced from top-tier Japanese manufacturers. |
1 Pair | 45,000 | 45,000 |
|
Designer Titanium Frame Lightweight, hypoallergenic titanium frame selected from our exclusive Tokyo collection. Includes professional fitting and adjustment. |
1 | 35,000 | 35,000 |
|
Dispensing and Orientation Service Final fitting of eyewear, verification of optical centers, and patient education on lens care and usage. |
1 | 5,000 | 5,000 |
Payment Instructions & Terms
Please remit payment within 30 days of the invoice date. Late payments may incur a 1.5% monthly interest charge.
Bank Transfer Details:
Bank Name: Mitsubishi UFJ Bank
Branch: Shibuya Branch (Branch Code: 004)
Account Type: Ordinary Account
Account Number: 1234567
Account Name: Shibuya Precision Optometry Co., Ltd.
Important Notice for Optometry Services in Japan:
This invoice reflects services provided in accordance with the Japanese Optometrists Act. While comprehensive eye exams are standard, please note that under the current Japanese healthcare system, prescription eyewear and lenses are generally considered out-of-pocket expenses and are not covered by the National Health Insurance (NHI) unless specifically prescribed for certain medical conditions by a licensed physician. Our clinic in Tokyo ensures all procedures meet the highest standards of safety and professionalism.
If you have any questions regarding this invoice or your eye health, please contact our billing department or your assigned Optometrist directly.
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