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Licensing details for: 9321

Name: Tamayo, Ditha

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1201 Sycamore Terrace Spc. 61
SUNNYVALE CA 94086
SANTA CLARA county
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Issuance Date

October 14, 2025

Expiration Date

October 31, 2027

Current Date / Time

April 3, 2026
8:48:05 PM

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 # 143

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7076 Primary Status: Current

Address :
1000 N RENGSTORFF
MOUNTAIN VIEW CA 94043
SANTA CLARA COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Tamayo, Ditha

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43880 Primary Status: Current

Address :
1201 Sycamore Ter Spc 61
SUNNYVALE CA 94086-8708
SANTA CLARA COUNTY

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