| 28665-8 | Right eye Axis far (phoropter) |
| 28707-8 | Left eye Axis far (phoropter) |
| 28781-3 | Right corrective lens Axis far (lensmeter) |
| 28787-0 | Left corrective lens Axis far (lensmeter) |
| 28828-2 | Right glasses lens prescription Axis far |
| 28844-9 | Left glasses lens prescription Axis far |