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Vision Care Receipt
A vision care receipt shows proof of payment for eye exams, vision tests, or optical services. It is commonly used for insurance reimbursement and personal healthcare records.
Vision care receipts usually include exam type, provider, and total paid.
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VISION CARE RECEIPT
Provider:
ClearSight Vision Center
Raleigh, NC
Patient:
Michael Turner
Policy Number: BH-772190
Coverage Period:
April 2022
Service Date: 05/02/2032
1
Comprehensive Eye Exam
135.00 £
1
Vision Screening
25.00 £
Total Paid
160.00 £
Payment Method
Debit Card