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Licensing details for: 8919

Name: Patel, Nishaben Dipakbhai

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

17978 Tangerine Way
RIVERSIDE CA 92503-7079
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Issuance Date

April 5, 2023

Expiration Date

April 30, 2027

Current Date / Time

November 6, 2025
7:25:36 AM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: Costco Wholesale Corporation

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70894 Primary Status: Current

Address :
5030 Hamner Ave
EASTVALE CA 91752
RIVERSIDE COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Patel, Nishaben Dipakbhai

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42997 Primary Status: Current

Address :
17978 Tangerine Way
RIVERSIDE CA 92503-7079

Map

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