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Licensing details for: 5064

Name: MATSUMOTO, RANDALL KEITH

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

26142 Williams Way
B
MURRIETA CA 92563
RIVERSIDE county
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Issuance Date

June 22, 2004

Expiration Date

June 30, 2026

Current Date / Time

April 3, 2026
4:32:04 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: SAM'S CLUB #4709

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6748 Primary Status: Current

Address :
1375 E Ontario Ave
CORONA CA 92881-6604
RIVERSIDE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: MATSUMOTO, RANDALL KEITH

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1376 Primary Status: Current

Address :
26142 Williams Way
B
MURRIETA CA 92563-7377
RIVERSIDE COUNTY

Map

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