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Purchase Order Optometrist in Italy Milan –Free Word Template Download with AI

Optometric Equipment & Supplies Procurement

Vis Studio Ottico S.r.l. — Via Montenapoleone 42, 20121 Milan, Italy

Partita IVA: IT01234567890 | PEC: [email protected]

Purchase Order No.: PO-2025-00487
Date of Issue: 14 June 2025
Valid Until: 14 July 2025
Payment Terms: Net 30 Days
Incoterms: DAP Milan, Italy
Currency: EUR (€)
SUPPLIER INFORMATION
Company Name: OptiTech Solutions Europe S.p.A. Supplier Code: SUP-OT-2291
Address: Via della Repubblica 18, 20154 Milan, Italy Contact Person: Dr. Marco Bellini, Sales Director
Phone: +39 02 8765 4321 Email: [email protected]
VAT Number: IT09876543210 Bank / IBAN: IT60 X054 2811 1000 0001 2345 678
BUYER INFORMATION (OPTOMETRIST PRACTICE)
Practice Name: Vis Studio Ottico S.r.l. Buyer Code: BUY-VS-0012
Address: Via Montenapoleone 42, 20121 Milan, Italy Authorized Optometrist: Dott.ssa Elena Ferraro, OD
Phone: +39 02 5544 3322 Email: [email protected]
VAT Number: IT01234567890 Delivery Address: Same as practice address, Milan, Italy
LINE ITEMS — OPTOMETRIC EQUIPMENT AND SUPPLIES
# Description SKU / Ref. Qty Unit Price (€) Total (€) Delivery
1 Autorefractor / Keratometer (Nidek ARK-530A) — Primary diagnostic instrument for the Optometrist to perform objective refraction and corneal curvature measurements on patients in the Milan clinic. NT-ARK530A 1 12,450.00 12,450.00 30 days
2 Phoropter (Nidek NP-200) — Subjective refraction device required by the Optometrist for comprehensive eye examinations and prescription verification. NT-NP200 1 8,900.00 8,900.00 30 days
3 Slit Lamp Biomicroscope (Topcon SL-18D) — Essential for the Optometrist to examine anterior segment structures, cornea, lens, and retinal periphery. TC-SL18D 1 15,200.00 15,200.00 45 days
4 Optical Coating Machine (OptiCoat Pro 3000) — For in-house anti-reflective, blue-light, and photochromic lens coatings performed by the Optometrist's technical team. OC-PRO3000 1 22,750.00 22,750.00 60 days
5 Progressive Lens Blanks (Zeiss SmartLife, 1.60 index) — 50 units for the Optometrist to dispense to patients requiring multifocal correction. ZS-SL160-50 50 89.00 4,450.00 15 days
6 Single-Vision Lens Blanks (Essilor Varilux, 1.67 index) — 100 units for the Optometrist's high-index prescription dispensing in the Italy Milan location. ES-VL167-100 100 62.00 6,200.00 15 days
7 Optical Frames (Designer Collection, Assorted) — 30 units for the Optometrist to offer patients a curated selection of frames during fitting appointments. FR-DC-2025 30 145.00 4,350.00 20 days
8 Contact Lens Trial Set (CooperVision Biofinity, assorted powers) — For the Optometrist to perform contact lens fittings and corneal assessments. CV-BF-TRIAL 2 320.00 640.00 10 days
9 Visual Acuity Charts & Perimetry Software License (1-year) — Consumables and software for the Optometrist's routine screening and field-of-vision testing. VA-PERM-2025 1 1,850.00 1,850.00 5 days
10 UV Sterilization Cabinet for Contact Lenses & Intraocular Lenses — Hygiene equipment mandated for the Optometrist's practice in compliance with Italian health regulations. UV-ST-400 1 2,100.00 2,100.00 20 days
Subtotal: 78,890.00
VAT (22% — Italy Milan jurisdiction): 17,355.80
GRAND TOTAL (EUR): 96,245.80
TERMS AND CONDITIONS
  1. This Purchase Order is issued by Vis Studio Ottico S.r.l., an Optometrist practice registered in Italy Milan, and constitutes a binding procurement request for the optical equipment, lenses, frames, and consumables listed above.
  2. The supplier, OptiTech Solutions Europe S.p.A., shall deliver all items to the Optometrist's clinic located at Via Montenapoleone 42, 20121 Milan, Italy, within the delivery windows specified per line item. Late delivery beyond 5 business days entitles the buyer to a 2% penalty per week on the affected line item value.
  3. All equipment must comply with the European Medical Device Regulation (EU) 2017/745 and Italian Ministry of Health directives applicable to optometric and ophthalmic instruments used by a licensed Optometrist in Italy Milan.
  4. Payment shall be made via bank transfer (IBAN provided above) within 30 calendar days of the date of the supplier's invoice, which must reference this Purchase Order number (PO-2025-00487).
  5. The Optometrist reserves the right to inspect all delivered goods within 10 business days of arrival. Any defective, damaged, or non-conforming items must be reported in writing, and the supplier shall replace or repair them at no additional cost within 15 business days.
  6. Warranty: All capital equipment (items 1–4) carries a minimum 24-month manufacturer warranty from the date of installation. Consumables (items 5–10) carry a 90-day replacement warranty against manufacturing defects.
  7. Installation and operator training for the Autorefractor, Phoropter, Slit Lamp, and Coating Machine shall be provided by the supplier's certified technicians at the Optometrist's premises in Italy Milan at no extra charge. Training sessions must be scheduled within 10 business days of equipment delivery.
  8. This Purchase Order is governed by the laws of the Italian Republic. Any disputes arising from this agreement shall be subject to the exclusive jurisdiction of the Courts of Milan, Italy.
  9. The Optometrist practice in Italy Milan shall maintain all equipment in accordance with the manufacturer's maintenance schedules. Preventive maintenance contracts may be negotiated separately and are not included in this Purchase Order.
  10. Confidentiality: Both parties agree to treat all commercial terms, patient-related data, and proprietary information exchanged in connection with this Purchase Order as strictly confidential in accordance with GDPR (EU) 2016/679 and Italian privacy law (D.Lgs. 196/2003).
NOTES AND SPECIAL INSTRUCTIONS

The Optometrist, Dott.ssa Elena Ferraro, requests that all capital equipment deliveries be coordinated with the clinic's maintenance window (Saturdays, 08:00–14:00) to minimize disruption to patient appointments in the Italy Milan location. The supplier must confirm the delivery date at least 5 business days in advance via email to [email protected]. All packaging materials must be recyclable and compliant with Italian waste management regulations (D.Lgs. 152/2006). This Purchase Order may not be partially accepted; the supplier must fulfill all line items or provide written justification for any substitution, which must be approved in writing by the Optometrist before shipment.

Authorized Signatory — Buyer
Dott.ssa Elena Ferraro, OD
Optometrist & Practice Director
Vis Studio Ottico S.r.l., Milan, Italy
Date: _______________
Authorized Signatory — Supplier
Dr. Marco Bellini
Sales Director
OptiTech Solutions Europe S.p.A.
Date: _______________

This Purchase Order (PO-2025-00487) was generated for the Optometrist practice Vis Studio Ottico S.r.l., located in Italy Milan. It is a controlled document and must be retained for a minimum of 10 years in accordance with Italian commercial record-keeping regulations (Codice Civile, Art. 2214). For queries, contact the procurement office at +39 02 5544 3322 or [email protected].

© 2025 Vis Studio Ottico S.r.l. — All Rights Reserved. Document Ref: PO-2025-00487 | Version 1.0

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