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Licensing details for: 43804

Name: DIDOMENICO, MICHAEL Anthony

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

12 Cameray Hts
LAGUNA NIGUEL CA 92677-9240
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Issuance Date

July 2, 2025

Expiration Date

July 31, 2027

Current Date / Time

November 6, 2025
12:32:1 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 #690

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6849 Primary Status: Current

Address :
27220 HEATHER RIDGE RD
LAGUNA NIGUEL CA 92677
ORANGE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: DiDomenico, Michael

License/Registration Type: Registered Contact Lens Dispenser

License Number: 9285 Primary Status: Current

Address :
12 Cameray Hts
LAGUNA NIGUEL CA 92677-9240

Map

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