Invoice Optometrist in United Arab Emirates Dubai –Free Word Template Download with AI
License No: DHA-2023-OPT-8891
Trade License: DE-459921
Address: Level 3, Al Manara Tower, Sheikh Zayed Road
City: Dubai, United Arab Emirates
Phone: +971 4 123 4567
Email: [email protected]
VAT Registration: AE 100 234 567 8000
Invoice Number: INV-DXB-2023-0045
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14 Days
Bill To:
Mr. Ahmed Al-Mansoori
Emirates Group Headquarters
Al Bateen, Dubai, United Arab Emirates
Emirates ID: 784-1985-1234567-8
Phone: +971 50 987 6543
Service Location:
ClearVision Optometry Clinic
Sheikh Zayed Road, Dubai
Consulting Optometrist: Dr. Sarah Johnson, OD
License: DHA-OD-5542
| # | Description of Optometry Services | Qty | Unit Price (AED) | Total (AED) |
|---|---|---|---|---|
| 1 |
Comprehensive Eye Examination Includes visual acuity testing, refraction, and ocular health assessment by licensed Optometrist in Dubai. |
1 | 350.00 | 350.00 |
| 2 |
Dilated Fundus Examination Detailed retinal screening using mydriatic drops to assess posterior segment health. |
1 | 200.00 | 200.00 |
| 3 |
Optical Dispensing - Premium Lenses Anti-reflective, blue-light filtering, photochromic lenses (Zeiss brand). |
1 | 1,200.00 | 1,200.00 |
| 4 |
Designer Eyewear Frame Titanium alloy frame, imported collection. |
1 | 850.00 | 850.00 |
| 5 |
Glaucoma Screening (IOP Test) Tonometry and visual field analysis. |
1 | 150.00 | 150.00 |
| 6 |
Low Vision Aids Consultation Assessment and recommendation of magnification devices. |
1 | 250.00 | 250.00 |
Terms and Conditions for Optometry Services in Dubai
1. Regulatory Compliance: All services rendered by this Optometrist are conducted in strict accordance with the regulations set forth by the Dubai Health Authority (DHA) and the Ministry of Health and Prevention (MOHAP) of the United Arab Emirates.
2. Payment Methods: We accept cash (AED), major credit cards (Visa, MasterCard, Amex), and bank transfers. For bank transfers, please reference the Invoice Number INV-DXB-2023-0045.
3. Warranty: All optical frames and lenses purchased from our clinic in Dubai come with a 12-month warranty against manufacturing defects. This warranty does not cover damage caused by misuse or accidents.
4. Prescription Validity: The eye prescription provided in this invoice is valid for one year from the date of examination, as per UAE medical standards.
5. Late Payments: Invoices not paid by the due date may incur a late fee of 2% per month on the outstanding balance.
6. Dispute Resolution: Any disputes arising from this invoice shall be resolved in accordance with the laws of the United Arab Emirates, specifically within the jurisdiction of Dubai courts.
Authorized Signature
Dr. Sarah Johnson, OD
Lead Optometrist
Received By
__________________________
Date: ____________________
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