53 lines
1.1 KiB
Markdown
53 lines
1.1 KiB
Markdown
---
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type: prescription
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category: eye
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person: Xuewei Jiang
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date: 2024-12-30
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provider: Domenico M. Rinaldi, O.D. — Marina Del Rey Optometry
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source: jiang_eye_exam_12-2024.pdf
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---
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# Eye Exam Prescription — Xuewei Jiang — 12/30/2024
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## Provider
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- **Practice:** Marina Del Rey Optometry
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- **Address:** 4266 Lincoln Blvd., Marina Del Rey, CA 902925618
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- **Phone:** (310) 823-4595
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- **Fax:** (310) 823-4598
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- **Website:** www.marinadelreyoptometry.com
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- **Doctor:** Domenico M. Rinaldi, O.D.
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- **LIC#:** 34194 TLG
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## Patient Information
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- **Patient Name:** Xuewei Jiang
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- **Address:** 12421 Sanford St, Los Angeles, CA 90066
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- **Date of Birth:** 03/13/1993
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## Exam Details
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- **Exam Date:** 12/30/2024
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- **Print Date:** 12/30/2024
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- **Expires:** 12/30/2026
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- **Type:** Final Rx
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- **Use:** Continual
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## Prescription
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| | Sphere | Cyl | Axis | Prism | PD |
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|-------|--------|-----|------|-------|----|
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| OD | -3.25 | | | | |
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| OS | -3.50 | | | | |
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| ADD | |
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|-----|-----|
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| OD | |
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| OS | |
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## Recommendations
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- Single Vision
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- Crizal Rock (non glare)
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- Polycarbonate
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