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Phone:Fax:Date of EG Exam:Street Address  Key Corner RdName: Michael WrightHalls, TN Street Address
TN-Dyersburg400 US Highway 51 Bypass WDyersburg, TN 380241927PHONE NUMBER AVAILABLEPHONE NUMBER AVAILABLE06/12/2023Patient Eyeglass Prescription InformationSphere Cyl Axis Add Prism / Dir Prism / DirRight (OD)Left (OS)I have examined your eyes in accordance with current regulations. Prescription Expiration Date:Eyeglass Rx TypeDoctor Signature Doctor Name06/12/2024Leslie SidesMulti-Focal+1.00+1.25-0.25-0.501350952.502.50Slab off Balanced