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    Michelle Butler visited St. James Optometry on November 22, 2023 for an optical prescription. Her prescription included no sphere power but a -1.50 cylinder in her right eye and -1.25 cylinder in her left eye. Her distance and near vision were tested as 20/20 in the right eye and 20/25 for distance vision in the left eye. The prescription was authorized by Linda Yee, OD and expires on November 22, 2023.

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    Michelle Butler visited St. James Optometry on November 22, 2023 for an optical prescription. Her prescription included no sphere power but a -1.50 cylinder in her right eye and -1.25 cylinder in her left eye. Her distance and near vision were tested as 20/20 in the right eye and 20/25 for distance vision in the left eye. The prescription was authorized by Linda Yee, OD and expires on November 22, 2023.

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    DR Note

    Uploaded by

    mrsbutler42
    Michelle Butler visited St. James Optometry on November 22, 2023 for an optical prescription. Her prescription included no sphere power but a -1.50 cylinder in her right eye and -1.25 cylinder in her left eye. Her distance and near vision were tested as 20/20 in the right eye and 20/25 for distance vision in the left eye. The prescription was authorized by Linda Yee, OD and expires on November 22, 2023.

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    of 1

    �.!

    -I GARDNER
    � Health Services

    Optical Prescription
    Name: Michelle Butler MRN: 2480023047 Visit Date: 11/22/2023
    Department
    Name Address Phone Fax
    St James Optometry 55 E Julian Street 408-457-7100 408-918-2690
    San Jose CA 95112-4007

    Patient Information
    ___P..,a,..tie_n_ t_N_a_m_e___________Account ID# Gender DOB Age
    Butler, Michelle 2480023047 Female 12/02/1994 28 yrs
    Glasses Prescription
    Sphere C finder Axis Dist VA NearVA
    Right Plano -1.50 160 20/20 20/20
    Left Plano -1.25 180 20/25 20/20
    Type· SVL
    Expiration Date: 11/22/2023

    Authorizing Provider: Linda Yee, OD

    Provider License: 10750

    Electronically signed by: Linda Yee OD

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