California State Board of Optometry

Licensing details for: 6953

Name: BUENAVENTURA OPTOMETRY

License Type: Fictitious Name Permit

Primary Status: Delinquent Primary Status Definition

Previous Names: Glenn Kawaguchi, O.D.

Address of Record

3301 E. Main Street
Suite 1006
VENTURA CA 93003
VENTURA county
Map

Issuance Date

November 18, 2016

Expiration Date

January 31, 2025

Current Date / Time

April 3, 2026
9:41:48 PM

License/Registration Role: Fictitious Name Permit

Related Party Role: Optometrist

Name: KAWAGUCHI, GLENN KEVIN O.D.

License/Registration Type: Optometrist

License Number: 9986 Primary Status: Current

Address :
518 N Moorpark Rd
THOUSAND OAKS CA 91360-3703
VENTURA COUNTY