Kostenloser Visionworks Receipt Generator

This receipt is issued by Visionworks Doctors of Optometry and identifies Store #523 at 5509 Urbana Pike, Frederick, Maryland 21704. The header contains the Visionworks name, store address, telephone number, website information, sales receipt reference, and transaction date and time. The receipt documents an optical purchase involving eyeglass frames, right and left prescription lenses, and a premium non-glare option, together with a MetLife Choice Standard third-party plan adjustment. The financial section records the merchandise and service amounts, a $172.16 plan-related discount, subtotal and total information, and payment of $333.97 by Visa. The lower section contains third-party billing information and an authorization statement covering insurance benefits, unpaid balances, and vision-care services.