California State Board of Optometry
Licensing details for: 15279
Name: FONG, VERISSA LAM
License Type: Optometrist
Primary Status: Current
Specialty: TLG
Previous Names: LAM, VERISSA W
Address of Record
1001 Springfield Dr
MILLBRAE CA 94030-1547
SAN FRANCISCO county
Map
Physical Addrs
SAN FRANCISCO CA 94111-4903
License Relationships
Fictitious Name Permit to Optometrist
License/Registration Role: Optometrist
Related Party Role: Fictitious Name Permit
Name: SF Optometry
License/Registration Type: Fictitious Name Permit
License Number: 7820 Primary Status: Delinquent
Address :
3251 20th Ave
#219
SAN FRANCISCO CA 94132-1900
Fictitious Name Permit to Optometrist
License/Registration Role: Optometrist
Related Party Role: Fictitious Name Permit
Name: University Avenue Optometry
License/Registration Type: Fictitious Name Permit
License Number: 7890 Primary Status: Current
Address :
270 University Ave
PALO ALTO CA 94301-1713
Fictitious Name Permit to Optometrist
License/Registration Role: Optometrist
Related Party Role: Fictitious Name Permit
Name: SF Optometry
License/Registration Type: Fictitious Name Permit
License Number: 8119 Primary Status: Current
Address :
3251 20th Ave
Ste 213A
SAN FRANCISCO CA 94132-1918
Fictitious Name Permit to Optometrist
License/Registration Role: Optometrist
Related Party Role: Fictitious Name Permit
Name: SAN FRANCISCO OPTOMETRY
License/Registration Type: Fictitious Name Permit
License Number: 7204 Primary Status: Current
Address :
100 Battery Street
SAN FRANCISCO CA 94111
SAN FRANCISCO COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Optometrist
Related Party Role: Registered Dispensing Ophthalmic Business
Name: LensCrafters #A964
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 71215 Primary Status: Current
Address :
270 University Ave
PALO ALTO CA 94301-1713
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Optometrist
Related Party Role: Registered Dispensing Ophthalmic Business
Name: LENSCRAFTERS #301
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5466 Primary Status: Current
Address :
3251 20TH AVE
SAN FRANCISCO CA 94132
SAN FRANCISCO COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Optometrist
Related Party Role: Registered Dispensing Ophthalmic Business
Name: LENSCRAFTERS #437
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5464 Primary Status: Current
Address :
100 BATTERY ST
SAN FRANCISCO CA 94111
SAN FRANCISCO COUNTY
