David B. and Janis Hubbard - Page 4

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          disabled patients were referred by petitioner to other                      
          optometrists.                                                               
               In 1997, in order to increase petitioner’s ability to treat            
          disabled patients, petitioner purchased for $12,950 a Humphrey              
          Instruments automatic refractor/keratometer (automatic                      
          refractor).                                                                 
               Also in 1997, petitioner purchased for $4,495 a Rush                   
          Ophthalmics height-adjustable rotary instrument stand on which to           
          place the automatic refractor.  This rotary instrument stand made           
          the automatic refractor accessible to wheelchair patients.                  
               Using the automatic refractor and the rotary instrument                
          stand together petitioner was able to perform “objective”                   
          refractions on all of his patients in order to test their vision            
          and in order to prescribe corrective lenses without the patients            
          having to be seated in an examination chair behind a manual                 
          refractor and without having to engage in a series of written               
          questions and answers.                                                      
               While the patients look into the automatic refractor, the              
          refractor shines a light into the patients’ eyes, takes                     
          measurements, and prints out copies of the patients’                        
          prescriptions.  Using the automatic refractor and the rotary                
          instrument stand, objective refractions on petitioner’s patients            
          took about 10 to 15 seconds.                                                








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