Invoice Optometrist in Turkey Ankara –Free Word Template Download with AI
Professional Optometrist Services
Çankaya District, Kızılay Avenue No: 45
Ankara, Turkey 06420
Tax ID (Vergi No): 123 456 78 90
Tax Office (Vergi Dairesi): Çankaya
Phone: +90 (312) 555 0199
Email: [email protected]
Invoice Number: INV-ANK-2023-0892
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Payment Method: Bank Transfer / Credit Card
Bill To (Müşteri Bilgileri)Mr. Ahmet Yılmaz
Residence: Kavaklıdere, 15th Street, Apt. No: 12/4
Ankara, Turkey 06680
Tax ID (Vergi No): 987 654 32 10
Tax Office (Vergi Dairesi): Kavaklıdere
Phone: +90 (532) 111 2233
Description of Optometry Services RenderedThe following invoice details the professional optometric services provided by our licensed Optometrist in Ankara, Turkey. These services include comprehensive eye examinations, diagnostic procedures, and the supply of corrective optical devices in accordance with the regulations of the Turkish Ministry of Health and the Ankara Chamber of Optometry.
| # | Service / Product Description | Quantity | Unit Price (TRY) | Total (TRY) | VAT % |
|---|---|---|---|---|---|
| 1 |
Comprehensive Refraction and Eye Health Exam Conducted by a certified Optometrist. Includes visual acuity testing, refraction for distance and near vision, intraocular pressure measurement, and assessment of binocular vision. Performed at our Ankara clinic. |
1 | 1,200.00 | 1,200.00 | 18% |
| 2 |
Dilated Fundus Examination Detailed examination of the retina, optic nerve, and macula using mydriatic drops. Essential for detecting early signs of glaucoma, diabetic retinopathy, and macular degeneration. |
1 | 850.00 | 850.00 | 18% |
| 3 |
Corneal Topography Mapping Advanced digital mapping of the corneal surface curvature. Used for contact lens fitting and pre-surgical evaluation. Utilizing state-of-the-art equipment available in our Ankara facility. |
1 | 950.00 | 950.00 | 18% |
| 4 |
Premium Anti-Reflective Lenses (Pair) High-index polycarbonate lenses with multi-coating, UV protection, and blue light filter. Custom-ground based on the prescription issued by our Optometrist. |
1 | 2,400.00 | 2,400.00 | 18% |
| 5 |
Designer Titanium Eyeglass Frame Lightweight, hypoallergenic titanium frame selected during the consultation. Includes adjustment and fitting service by our optical technicians. |
1 | 1,800.00 | 1,800.00 | 18% |
| 6 |
Follow-up Consultation and Lens Verification Post-dispensing check to ensure visual comfort and correct alignment of the new eyewear. Includes minor adjustments and patient education on lens care. |
1 | 400.00 | 400.00 | 18% |
- Payment Terms: Payment is due within 14 days of the invoice date. Late payments may incur a penalty interest rate as per Turkish Commercial Code regulations.
- Bank Details:
Bank: Ziraat Bankası A.Ş.
Branch: Ankara Çankaya
Account Name: Ankara Vision Optometry Center Ltd. Şti.
IBAN: TR12 0001 0001 2345 6789 0123 45 - Warranty: All optical products sold by this Optometrist in Ankara come with a 12-month warranty against manufacturing defects. This warranty does not cover damage caused by misuse, accidents, or normal wear and tear.
- Prescription Validity: The prescription provided during this visit is valid for 24 months in accordance with Turkish health regulations, unless otherwise specified by the Optometrist due to specific medical conditions.
- Privacy Policy: Your personal and medical data are processed in compliance with the Turkish Law on Protection of Personal Data (KVKK). Your records are kept confidential and secure.
- Dispute Resolution: Any disputes arising from this invoice or the services provided shall be subject to the jurisdiction of the Ankara Courts and Arbitration Centers.
Authorized Signature
Dr. Elif Demir, OD
Lead Optometrist
Ankara Vision Optometry Center
Customer Acceptance
Signature:
Date:
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT