ATTACHMENT E - EYEGLASS DETAILED BILL - SAMPLE.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 36C24823R0045
About this file
This document appears to be an attachment titled "EYEGLASS DETAILED BILL - SAMPLE.xlsx" related to a federal contract opportunity issued by the Department of Veterans Affairs (VA) Veterans Health Administration for the Veterans Integrated Service Network 8 (VISN 8).
The key details of the related federal contract opportunity are: The VA is seeking to provide prescription eyeglasses, both dress and safety, to eligible beneficiaries within VISN 8. The contractor must fabricate eyeglasses in strict conformance with the prescription/consult provided by an authorized VA staff, verify the final eyeglasses, and ship them to the designated address at the prices indicated in the schedule. The contractor must provide a web-based portal to allow the VA to track the status of each eyeglass order and manage billing and payment information. The contract has an estimated fluctuating patient volume within VISN 8 and a one-year warranty/guarantee period for defective material and/or workmanship.
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Text version
Report Date SHIPPING DATE VETERANS (LAST NAME, FIRST NAME, MID. INITIAL LAST FOUR OF SSN VA SITE/ LOCATION INVOICE NUMBER Job Number HCPCS (V2100,2200, 2300, V2781) TYPES OF LENS (SINGLE-V2100, BI-FOCAL-V2200, TRI-FOCAL- V2300, PROGRESSIVE -V2781, LENS ONLY) FRAME NAME /MODEL PRICE MISC. COMMENTS
File details come from the government source that posted it. Updated .