California State Board of Optometry
Licensing details for: 3737
Name: LENSCRAFTERS #136
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Previous Names: LENSCRAFTERS #3737 ❖ LENS CRAFTERS
Address of Record
329 CORTE MADERA TOWN CENTER
CORTE MADERA CA 94925
MARIN county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: STONE, DEBRA FARANI
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1371 Primary Status: Cancelled
Address :
157 Esposti Meadows Way
SANTA ROSA CA 95403-7857
SONOMA COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SIMONS, STEPHANIE M.S.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8537 Primary Status: Delinquent
Address :
319 Brockhurst Dr
SANTA ROSA CA 95401
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BOSSALLER, JEFFREY CAREY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6087 Primary Status: Cancelled
Address :
1609 E Madison St
PETALUMA CA 94954-2320
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ELKIN, BRUCE MICHAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40460 Primary Status: Current
Address :
433 Sylvan Ave Spc 94
MOUNTAIN VIEW CA 94041-1643
SANTA CLARA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Azam, Usama
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42768 Primary Status: Current
Address :
8 Terners Drive
34
SAUSALITO CA 94965
MARIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DE SANTIS, ANGELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6041 Primary Status: Cancelled
Address :
1117 MIRABELLA AVENUE
NOVATO CA 94945
MARIN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PARODI, FRANCESCA DIANA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6512 Primary Status: Cancelled
Address :
875 WINDERMERE ROAD
SAN DIMAS CA 91773
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SIMONS, STEPHANIE M.S.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40380 Primary Status: Delinquent
Address :
319 Brockhurst Dr
SANTA ROSA CA 95401-5931
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: STONE, DEBRA FARANI
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5050 Primary Status: Cancelled
Address :
157 Esposti Meadows Way
SANTA ROSA CA 95403-7857
SONOMA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PRALL, JAMES MICHAEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4290 Primary Status: Delinquent
Address :
280 Kathy Ellen Dr
VALLEJO CA 94591-3632
SOLANO COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: HUM, KATHLEEN ROSE
License/Registration Type: Optometrist
License Number: 8253 Primary Status: Current
Address :
329 Corte Madera Town Ctr
CORTE MADERA CA 94925-1207
MARIN COUNTY



