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obsidian-yanxin/documents/medical/eye/jiang_LA_2021.md
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type, category, person, date, provider, source
type category person date provider source
prescription medical Xuewei Jiang 2021-11-17 Maylin Gonzalez, OD — Eyed LA Optometry jiang_LA_2021.pdf

Eyeglass Rx — Xuewei Jiang — 11/17/2021

Provider

  • Practice: Eyed LA Optometry
  • Doctor: Maylin Gonzalez, OD
  • License #: 14297
  • Address: 1150 18th Street suite 103, Santa Monica CA 90403
  • Phone: (424) 208-3107

Patient Information

  • Patient: Xuewei Jiang
  • DOB: 03/13/1993
  • Address: 11950 Idaho Ave. apt. 113, Los Angeles CA 90025

Exam Details

  • Date: 11/17/2021
  • Expires: 11/17/2023
  • Rx #: 168263508

Rx Details

Sphere Cyl Axis Near Add Int Add H Prism V Prism
OD -3.25
OS -3.25 -0.25 098
  • Distance PD: 58.0

Special Instructions and Recommendations

Feature Value
Material Polycarbonate
Tint
AR Coating Yes
Photochromic
UV Treatment Yes
Polarized
LensType
Instructions

Signed: Maylin Gonzalez, OD