obsidian-yanxin/documents/medical/eye/lu_LA_2022_modified.md

type, category, person, date, provider, source

type	category	person	date	provider	source
prescription	eye	Yanxin Lu	2022-07-05	Bijan Cohenmehr, O.D.	lu_LA_2022_modified.jpg

Eye Exam Prescription — Yanxin Lu — 7/5/22

Provider

• Doctor: Bijan Cohenmehr, O.D.
• Address: 12222 Wilshire Blvd., Suite 105, Los Angeles, CA 90025
• Tel: (310) 828-2010
• Fax: (424) 832-3712
• Lic. #: 10047T

Patient Information

• Rx for: Lu, Yanxin
• Date: 7/5/22

Prescription

	Sphere	Cylinder	Axis	Doc	Prism	Base
OD (DIST)	-5.50	-1.25	35
OS (DIST)	-5.50	-1.25	148

ADD
R
L

Bifocal
TYPE	SEG. SIZE	SEG. POSITION

PD

DIST	NEAR
66

Tint

(empty)

Remarks

• 2nd Pair:
• IMPACT RESISTANT, MUST MEET Z-80 STANDARDS. VOID IF ALTERED. VALID FOR 1 YEAR FROM ABOVE DATE.

Notes

FILLING THIS PRESCRIPTION CONSTITUTES AN AGREEMENT TO RE-MAKE LENSES AT MY DIRECTION FOR A PERIOD OF NINETY (90) DAYS WITHOUT FURTHER CHARGE TO ME OR MY PATIENT. -NOT FOR CONTACT LENSES.