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Licensing details for: 42445

Name: Chen, Samuel

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Previous Names: Chen, Samuel Yinghao

Address of Record

450 10th st
Costco Optical
SAN FRANCISCO CA 94103-4304
SAN FRANCISCO county
Map

Issuance Date

October 22, 2021

Expiration Date

October 31, 2027

Current Date / Time

November 6, 2025
8:45:29 PM

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 CORP

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 5813 Primary Status: Current

Address :
450 10TH STREET
SAN FRANCISCO CA 94103-4303
SAN FRANCISCO COUNTY

Map

SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: Chen, Samuel

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8687 Primary Status: Current

Address :
450 10th st
SAN FRANCISCO CA 94103-4304

Map

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