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Licensing details for: 11189

Name: NGUYEN, JASMINE PHUONG

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TPAPrimary Status Definition

Address of Record

4029 43RD STREET #300
SAN DIEGO CA 92105
SAN DIEGO county
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Issuance Date

July 28, 1999

Expiration Date

January 31, 2027

Current Date / Time

November 6, 2025
8:25:14 PM

License Relationships

Fictitious Name Permit to Optometrist

License/Registration Role: Optometrist

Related Party Role: Fictitious Name Permit

Name: FOCUS OPTOMETRY

License/Registration Type: Fictitious Name Permit

License Number: 4019 Primary Status: Current

Address :
4029 43RD STREET #300
SAN DIEGO CA 92105
SAN DIEGO COUNTY

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Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS AT MACY'S #7477

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70948 Primary Status: Current

Address :
1 Serramonte Ctr
DALY CITY CA 94015-2345
SAN MATEO COUNTY

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Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #157

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3736 Primary Status: Current

Address :
685 MARKET ST
SAN FRANCISCO CA 94105
SAN FRANCISCO COUNTY

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