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Purchase Order Optometrist in Japan Tokyo –Free Word Template Download with AI

Purchase Order Details

Purchase Order No.: PO-JT-2025-04872

Date of Issue: 14 June 2025

Required Delivery Date: 05 July 2025

Payment Terms: Net 30 Days

Currency: Japanese Yen (JPY)

Incoterms: DDP (Delivered Duty Paid) – Tokyo, Japan

Buyer Information

Company: Shinjuku Vision Optometrist Clinic Co., Ltd.

Address: 4-2-18 Shinjuku, Shinjuku-ku, Tokyo 160-0022, Japan Tokyo

Phone: +81-3-5274-8890

Email: [email protected]

Representative: Dr. Kenji Tanaka, Lead Optometrist

Tax ID (Tōhyō番号): 40-21-00987-6543

Field Details
Supplier Name OptiCore Global Supplies K.K.
Address 7-1-3 Marunouchi, Chiyoda-ku, Tokyo 100-0005, Japan Tokyo
Contact Person Ms. Yuki Sato, Regional Sales Director
Phone +81-3-6271-4455
Email [email protected]
Supplier Tax ID 20-18-00456-7891
Item No. Description Qty Unit Unit Price (JPY) Amount (JPY)
01 Auto Refractor / Keratometer (Nidek ARK-530A) – for optometrist diagnostic use 2 Unit 1,850,000 3,700,000
02 Phoropter (Hartinger 4000) – standard optometrist examination instrument 3 Unit 920,000 2,760,000
03 Slit Lamp Biomicroscope (Topcon SL-18D) – for anterior segment examination 2 Unit 1,240,000 2,480,000
04 Non-Mydriatic Fundus Camera (Heine Beta 2) – retinal imaging for optometrist 2 Unit 1,680,000 3,360,000
05 Optical Lenses – Single Vision, 1.67 Index (various prescriptions) – bulk order 200 Pairs 12,500 2,500,000
06 Progressive Multifocal Lenses – 1.67 Index, premium optometrist-grade 80 Pairs 38,000 3,040,000
07 Photochromic Lenses – Transitions SignatureGen – for outdoor use in Japan Tokyo 60 Pairs 22,000 1,320,000
08 Optical Frames – Titanium, Japanese design (various styles) – retail stock 150 Units 18,500 2,775,000
09 Contact Lens Solution (500ml) – for optometrist patient aftercare 300 Bottles 1,800 540,000
10 Visual Acuity Charts (Snellen & LogMAR) – wall-mounted, optometrist standard 10 Sets 45,000 450,000
11 Eye Chart Illumination System – LED, optometrist examination room 5 Units 32,000 160,000
12 Patient Examination Chairs – adjustable, optometrist clinic grade 4 Units 185,000 740,000
SUBTOTAL 23,825,000
Consumption Tax (10%) 2,382,500
GRAND TOTAL (JPY) 26,207,500

This Purchase Order is issued by Shinjuku Vision Optometrist Clinic Co., Ltd., a licensed optometrist practice registered in Japan Tokyo, and governs the procurement of all optical diagnostic equipment, lenses, frames, and patient care supplies listed above. The supplier, OptiCore Global Supplies K.K., acknowledges acceptance of all terms herein by signing this Purchase Order document.

1. Delivery: All items shall be delivered to the optometrist clinic premises at 4-2-18 Shinjuku, Shinjuku-ku, Tokyo 160-0022, Japan Tokyo, no later than 05 July 2025. Delivery shall be made between 09:00 and 17:00 JST on business days. The supplier is responsible for all packaging, insurance, and freight charges up to the delivery point in Japan Tokyo.

2. Quality Assurance: All optometrist-grade equipment must comply with Japanese Medical Device Act (Kikaku-hō) regulations and bear the appropriate PMDA certification. Lenses and frames must meet JIS (Japanese Industrial Standards) for optical accuracy. The optometrist clinic reserves the right to reject any item that does not meet the specified quality parameters or arrives damaged.

3. Payment: Payment of the full Purchase Order amount of JPY 26,207,500 shall be made via bank transfer within thirty (30) calendar days of the date of invoice issuance, provided that all goods have been received and inspected by the optometrist clinic's procurement team. Bank details: Shinjuku Vision Optometrist Clinic Co., Ltd., Bank of Tokyo-Mitsubishi UFJ, Account No. 0048721, Branch: Shinjuku.

4. Warranties: All diagnostic instruments carry a minimum two-year manufacturer warranty. Optical lenses carry a one-year warranty against manufacturing defects. The supplier shall provide full replacement or repair service for any defective optometrist equipment within the warranty period at no additional cost to the buyer.

5. Cancellation and Modification: This Purchase Order may be modified or cancelled in writing by either party up to fourteen (14) days prior to the required delivery date. Cancellation after this period may incur a penalty of 15% of the total Purchase Order value, as agreed upon by both parties.

6. Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of Japan. Any disputes arising from this Purchase Order related to the optometrist practice operations in Japan Tokyo shall be subject to the exclusive jurisdiction of the Tokyo District Court.

7. Confidentiality: Both parties agree to maintain confidentiality regarding the terms, pricing, and specifications contained in this Purchase Order. No information shall be disclosed to third parties without prior written consent, except as required by Japanese law or regulatory bodies overseeing optometrist practice in Japan Tokyo.

Important Note: This Purchase Order is specifically tailored for the operational needs of a licensed optometrist practice in Japan Tokyo. All equipment and supplies listed must be suitable for use in a clinical optometry setting and must comply with the Ministry of Health, Labour and Welfare (MHLW) regulations governing optometrist services in the Tokyo metropolitan area. The optometrist clinic requires all documentation, including user manuals and safety data sheets, to be provided in both Japanese and English.

For and on behalf of the Buyer:

Shinjuku Vision Optometrist Clinic Co., Ltd.

Japan Tokyo


Signature: ___________________________

Name: Dr. Kenji Tanaka

Title: Lead Optometrist / Director

Date: ___________________________

For and on behalf of the Supplier:

OptiCore Global Supplies K.K.

Japan Tokyo


Signature: ___________________________

Name: Ms. Yuki Sato

Title: Regional Sales Director

Date: ___________________________

Purchase Order No. PO-JT-2025-04872 | Shinjuku Vision Optometrist Clinic Co., Ltd. | Japan Tokyo | Page 1 of 1

This document is a controlled Purchase Order issued for the optometrist practice operations in Japan Tokyo. Unauthorized reproduction or distribution is prohibited.

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