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Licensing details for: 8023

Name: SCAVO, NICKOLAS ANTHONY

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TPGPrimary Status Definition

Address of Record

21540 Hawthorne Blvd Ste 539
c/o Lenscrafters - Del Amo Fashion Ctr
TORRANCE CA 90503-5740
LOS ANGELES county
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Issuance Date

September 15, 1984

Expiration Date

November 30, 2026

Current Date / Time

November 6, 2025
2:11:48 PM

License Relationships

Fictitious Name Permit to Optometrist

License/Registration Role: Optometrist

Related Party Role: Fictitious Name Permit

Name: Scavo Optometric Group, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 7081 Primary Status: Current

Address :
21540 Hawthorne Blvd
# 539
TORRANCE CA 90503-5707
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 #177

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3813 Primary Status: Current

Address :
21540 Hawthorne Blvd Ste 539
TORRANCE CA 90503-5740
LOS ANGELES COUNTY

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Statement of Licensure to Optometrist

License/Registration Role: Optometrist

Related Party Role: Statement of Licensure

Name: SCAVO, NICKOLAS ANTHONY

License/Registration Type: Statement of Licensure

License Number: 13161 Primary Status: Delinquent

Address :
LensCrafters at Macy's
21600 Hawthorne Blvd.
TORRANCE CA 90503
LOS ANGELES COUNTY

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