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obsidian-yanxin/documents/medical/eye/lu_eye_exam_receipt_12_2025.md
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type, category, person, date, provider, source
type category person date provider source
receipt medical Yanxin Lu 2025-12-29 Del Rey Optometry Marina Del Rey lu_eye_exam_receipt_12_2025.HEIC

Eye Exam Receipt — Yanxin Lu — 12/29/2025

Store Information

  • Store: Del Rey Optometry Marina Del Rey 10
  • Address: 4266 Lincoln Blvd., Marina Del Rey, CA 90292-5618, United States
  • Phone: 310-823-4595

Receipt Details

  • Receipt #: 3010061
  • Date: 12/29/25 @ 10:08 AM
  • Store: 29010 | Register: 3
  • Cashier: Paola 330031
  • Salesperson: 330031 (Paola)
  • Order For: Yanxin Lu
  • Sales Order: 10122847829010

Line Items

Item Qty Price Amount
92015 Refraction (20500001669638) 1 59.00 17.90
4321-INSURANCE DISCOUNT (41.10)
Sales Order 10122847829010 [Doctor Service Addon]
Optomap (20500001862528) 1 39.00 0.00
4321-INSURANCE DISCOUNT (39.00)
Sales Order 10122847829010 [Doctor Service Addon]
92014 Est Comprehensive (20500001985201) 1 159.00 71.60
4321-INSURANCE DISCOUNT (87.40)
Sales Order 10122847829010 [Doctor Service]
ADD-ON ONLY PACKAGE ARTICLE

Totals

Amount
Subtotal 89.50
Tax 0.00
Total 89.50

Payment

Amount
Assignment Vision Care (10122847829010) 79.50
MasterCard 4800 10.00
Auth #:
Transaction Type: Sale
Entry Method: Keyed
Auth Time: 10:08 AM
Change 0.00

Notes

Guarantee: Our goal is 100% satisfaction! If you're not completely satisfied with your purchase within the first 30 days, just let us know. We're committed to making it right.

Total Item(s) purchased: 3

Customer Copy