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Quotation Estimate Optometrist in Italy Naples –Free Word Template Download with AI

Comprehensive Ophthalmic Assessment & Vision Care Quotation

Quotation No.: QTE-NAP-2025-0487
Date of Issue: 14 June 2025
Valid Until: 14 July 2025 (30 days)
Prepared By: Studio Ottico & Optometrista Vesuvio
Location: Via Toledo 142, 80132 Naples (Napoli), Italy
Contact: [email protected] | +39 081 555 0142
1. Client / Recipient Information

Client Name: Sig. Marco De Santis

Address: Via Chiaia 88, 80121 Naples (Napoli), Campania, Italy

VAT / Tax Code (Codice Fiscale): DSNTCR85A01H501Z

Phone: +39 333 789 4521

Email: [email protected]

2. Scope of Optometrist Services — Italy Naples

This Quotation Estimate is issued by our registered Optometrist practice located in the historic centre of Italy Naples, specifically at Via Toledo 142, to provide a detailed and transparent cost breakdown for the full range of ophthalmic and vision care services requested by the client. All services described herein are performed by a licensed Optometrist (Iscritto all'Albo degli Ottici e Optometristi della Regione Campania) in full compliance with Italian national health regulations and the European Union directives governing optometric practice. The practice operates within the city of Naples, the capital of the Campania region, and serves residents and visitors throughout the metropolitan area of Italy Naples.

3. Itemised Services & Pricing
Ref. Service Description Optometrist Procedure Qty Unit Price (EUR) Subtotal (EUR)
01 Comprehensive Optometrist Eye Examination (Full Refraction) Autorefraction, subjective refraction, binocular vision assessment, visual field screening 1 € 85.00 € 85.00
02 Slit-Lamp Biomicroscopy & Anterior Segment Evaluation Optometrist-led corneal, lens, and anterior chamber inspection 1 € 45.00 € 45.00
03 Dilated Fundus Examination with Direct & Indirect Ophthalmoscopy Optometrist retinal assessment, macular and optic nerve evaluation 1 € 55.00 € 55.00
04 Intraocular Pressure Measurement (Non-Contact Tonometry) Optometrist glaucoma screening procedure 1 € 25.00 € 25.00
05 Corneal Topography & Pachymetry Optometrist corneal mapping for contact lens fitting or pre-surgical assessment 1 € 65.00 € 65.00
06 Binocular Vision & Oculomotor Function Assessment Optometrist convergence, divergence, and eye movement analysis 1 € 40.00 € 40.00
07 Prescription of Corrective Lenses (Spectacles) & Written Report Optometrist prescription issuance, Italian SSN-compatible documentation 1 € 30.00 € 30.00
08 Follow-Up Consultation (within 30 days of initial exam) Optometrist review of adaptation, lens verification, and aftercare 1 € 35.00 € 35.00
TOTAL ESTIMATED COST (before VAT) € 380.00
VAT (IVA) 22% — Italy Naples Regional Tax € 83.60
GRAND TOTAL (VAT Included) € 463.60
4. Terms & Conditions of This Quotation Estimate
  1. This Quotation Estimate is valid for a period of thirty (30) calendar days from the date of issue. After the expiry date, the Optometrist practice in Italy Naples reserves the right to revise pricing due to changes in material costs, regulatory updates, or market conditions within the Campania region.
  2. All prices quoted are in Euro (EUR) and are subject to the standard Italian Value Added Tax (IVA) at the current rate of 22%, applicable to services rendered in Naples, Italy. No additional municipal surcharges apply to this Quotation Estimate.
  3. The Optometrist services listed in this document are to be performed at the practice premises located at Via Toledo 142, Naples (Napoli), 80132, Italy. The client is responsible for travel and parking arrangements within the city of Naples.
  4. Payment is due in full within fifteen (15) business days of the date of this Quotation Estimate or upon completion of services, whichever is later. Accepted payment methods include bank transfer (bonifico bancario), credit/debit card, and cash. The practice's IBAN and VAT number (P.IVA) will be provided on the final invoice.
  5. This Quotation Estimate does not constitute a binding contract until formally accepted in writing by the client. Acceptance may be communicated via email to [email protected] or by signed return of this document.
  6. The Optometrist practice in Italy Naples complies with the Italian General Data Protection Regulation (GDPR / Regolamento UE 2016/679) and the national health data protection framework (D.Lgs. 196/2003 as amended). All clinical records and examination data collected during the Optometrist session will be stored securely and processed solely for the purpose of the client's vision care.
  7. In the event that the Optometrist identifies a condition requiring referral to an ophthalmologist (oculista) or a specialist medical centre in Naples or elsewhere in Italy, such referral will be provided at no additional cost to the client. Any subsequent specialist consultations are outside the scope of this Quotation Estimate.
  8. Cancellations or rescheduling of appointments must be communicated to the Optometrist practice at least 48 hours in advance. Cancellations made within 48 hours may incur a 50% fee on the scheduled service value as outlined in this Quotation Estimate.
  9. This Quotation Estimate is governed by the laws of the Italian Republic. Any disputes arising from the services described herein shall be subject to the exclusive jurisdiction of the Courts of Naples (Napoli), Italy.
  10. The Optometrist practice in Italy Naples holds full professional liability insurance (RC Professionale) with a coverage of € 1,000,000 per claim, in compliance with the requirements set by the Ordine degli Ottici e Optometristi della Regione Campania.
5. Acceptance & Signatures

By signing below, the client acknowledges receipt of this Quotation Estimate for Optometrist services in Italy Naples and agrees to the terms and conditions set forth in Section 4. This signature constitutes formal acceptance of the quoted prices and service scope.

For the Optometrist Practice
Studio Ottico & Optometrista Vesuvio
Via Toledo 142, 80132 Naples, Italy
P.IVA: 09876543210
Dr. Elena Ferraro, Optometrist (Laurea Magistrale in Ottica e Optometria)
Client Acceptance
Sig. Marco De Santis
Via Chiaia 88, 80121 Naples, Italy
Codice Fiscale: DSNTCR85A01H501Z
Date: _______________

Studio Ottico & Optometrista Vesuvio — Licensed Optometrist Practice — Naples (Napoli), Italy

Via Toledo 142, 80132 Napoli, Campania, Italy | Tel: +39 081 555 0142 | Email: [email protected]

P.IVA: 09876543210 | Albo Ottici e Optometristi Regione Campania — Iscrizione N. 2019/0447

This Quotation Estimate document was generated on 14 June 2025. For any queries regarding this Optometrist service quotation in Italy Naples, please contact the practice during business hours (Monday to Friday, 09:00–18:00; Saturday, 09:00–13:00).

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