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Licensing details for: 42186

Name: Ortiz, Samantha Alyssa

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
SAN MATEO county
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Issuance Date

October 7, 2020

Expiration Date

October 31, 2026

Current Date / Time

April 4, 2026
2:40:21 AM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #147

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70686 Primary Status: Current

Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177
SAN MATEO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: Ortiz, Samantha Alyssa

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8871 Primary Status: Current

Address :
1001 Metro Center Blvd
FOSTER CITY CA 94404-2177

Map

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