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Licensing details for: 11979

Name: WONG, DAVID T

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TLGPrimary Status Definition

Address of Record

24201 Valencia Blvd
Suite 3546
VALENCIA CA 91355-1861
LOS ANGELES county
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Issuance Date

July 5, 2002

Expiration Date

December 31, 2026

Current Date / Time

November 7, 2025
9:22:30 PM

License Relationships

Fictitious Name Permit to Optometrist

License/Registration Role: Optometrist

Related Party Role: Fictitious Name Permit

Name: VISIO OPTOMETRY

License/Registration Type: Fictitious Name Permit

License Number: 7876 Primary Status: Current

Address :
24201 Valencia Blvd
3546
VALENCIA CA 91355-1861
LOS ANGELES COUNTY

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Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS,INC #610

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5696 Primary Status: Current

Address :
24201 VALENCIA BLVD
VALENCIA CA 91355
LOS ANGELES COUNTY

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