California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: BON, PAULA MARIA

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1106 Primary Status: Cancelled

Address :
8305 GOLDEN PERCH COURT
BAKERSFIELD CA 93312
KERN COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SUTTON, RAYMOND W

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4602 Primary Status: Cancelled

Address :
1906 WILDWOOD WAY
ROSEVILLE CA 95661
PLACER COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: DHILLON, AMANDEEP SINGH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6778 Primary Status: Cancelled

Address :
67 BROOKSTONE WAY
HAYWARD CA 94544
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: POREE, ANGELICA GREGORIA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6352 Primary Status: Cancelled

Address :
1424 168TH AVENUE #7
SAN LEANDRO CA 94578
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: BON, PAULA MARIA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 1067 Primary Status: Cancelled

Address :
7211 NIGHTINGALE LANE
QUARTZ HILL CA 93536
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LE, LOC DUC

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40061 Primary Status: Cancelled

Address :
2363 E 23rd St # B
OAKLAND CA 94601-1243
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SY, SUSAN LEONG

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4597 Primary Status: Delinquent

Address :
2116 Piccardo Cir
STOCKTON CA 95207-8804
SAN JOAQUIN COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SHIGEURA, GABRIEL K

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6217 Primary Status: Cancelled

Address :
21925 VALLEJO STREET
HAYWARD CA 94541
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ST. JOHN, ANDREA BETH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5320 Primary Status: Cancelled

Address :
1884 GROVE WAY
CASTRO VALLEY CA 94546
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LOZANO, CHRISTINA WYCOCO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40438 Primary Status: Cancelled

Address :
416 Promontory Terrace
SAN RAMON CA 94583
CONTRA COSTA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: RIESBERG, MICHAEL BROOKS

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5598 Primary Status: Cancelled

Address :
9615 ALCOSTA BLVD
SAN RAMON CA 94583
CONTRA COSTA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MA, CONNIE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6893 Primary Status: Cancelled

Address :
2202 S Shore Ctr Ste F
LENSCRAFTERS #5774
ALAMEDA CA 94501-5788
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HUNG, BRIAN PAK YAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40748 Primary Status: Cancelled

Address :
1327 Webster St Apt B205
ALAMEDA CA 94501-7812
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: BARRIGA, ANITA GALLEGOS

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4645 Primary Status: Cancelled

Address :
586 BRIGHTON WAY
LIVERMORE CA 94550
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: TRIEU, THUAN CHI

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5221 Primary Status: Cancelled

Address :
1336 BOCKMAN ROAD
SAN LORENZO CA 94580
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SCOTT, ALEXIS ANNE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43650 Primary Status: Current

Address :
1860 Burkhart Ave
SAN LEANDRO CA 94579-1969
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: NARVESON, ANDREW MICHAEL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41226 Primary Status: Current

Address :
4501 Wheeler Dr
FREMONT CA 94538-1935
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Villa, Cesar

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41813 Primary Status: Delinquent

Address :
2746 Bal Harbor Ln
HAYWARD CA 94545-3404
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Smith, Brandon Michael

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41594 Primary Status: Cancelled

Address :
128 Loveridge Cir
PITTSBURG CA 94565-5353
CONTRA COSTA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Rodriguez, Barbara Anne

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43705 Primary Status: Current

Address :
896 Litwin Dr
CONCORD CA 94518-3433
CONTRA COSTA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SIDHU, JATINDER SINGH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5217 Primary Status: Cancelled

Address :
2471 REGAL DRIVE
UNION CITY CA 94587
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MORRISON, STEPHANIE NICOLE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6666 Primary Status: Cancelled

Address :
793 S Tracy Blvd # 286
TRACY CA 95376-4753
SAN JOAQUIN COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: ZHANG, BEI

License/Registration Type: Optometrist

License Number: 12902 Primary Status: Current

Address :
1104 STONERIDGE MALL DRIVE
EYEXAM OF CA
PLEASANTON CA 94588
ALAMEDA COUNTY

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