California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SILVERBERG, MARA LYNN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5073 Primary Status: Cancelled

Address :
6225 Coldwater Canyon Ave Unit 303
NORTH HOLLYWOOD CA 91606-3004
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MEINHOLD, STEVEN BRYAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6842 Primary Status: Cancelled

Address :
805 Calle Puente Ste B
SAN CLEMENTE CA 92672-5002
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: PINNEY, CHRISTINA NICOLE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6202 Primary Status: Cancelled

Address :
22 CREEK ROAD # 102
IRVINE CA 92604
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HERBERG, NECIA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4656 Primary Status: Cancelled

Address :
15 GLEN ECHO
TRABUCO CANYON CA 91679
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WOO, GRACE BO-YOUNG

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6260 Primary Status: Cancelled

Address :
3237 LARKSPUR ST
TUSTIN CA 92782
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: JAFARI, MANSOUREH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4720 Primary Status: Cancelled

Address :
21804 MIRADOR ST
MISSION VIEJO CA 92691
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: KING, LENICE ANTON Sr

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5005 Primary Status: Cancelled

Address :
4262 Pondhill Ct
RIVERSIDE CA 92505-3464
RIVERSIDE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CALIWAG, FILIP B

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6243 Primary Status: Revoked

Address :
2528 W Lincoln Ave
ANAHEIM CA 92801-6432
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: TAGHIPOUR, SAYEH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40727 Primary Status: Cancelled

Address :
23 Altezza Dr
MISSION VIEJO CA 92692-5108
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CRANFILL, AMBER M

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5557 Primary Status: Cancelled

Address :
30 SHOPS AT MISSION VIEJO
MISSION VIEJO CA 92673
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WALLING, JOYCE KAY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4384 Primary Status: Cancelled

Address :
16681 SIMS ST #2
HUNTINGTON BEACH CA 92649
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SHUTTLEWORTH, JEFFREY ALAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4903 Primary Status: Cancelled

Address :
10447 STEAMWOOD CIR
MORENO VALLEY CA 92557
RIVERSIDE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WERONKO, REBECCA LAURA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6734 Primary Status: Cancelled

Address :
16309 PAYTON
IRVINE CA 92620
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: TA, MINH BAO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5148 Primary Status: Cancelled

Address :
18802 PINTO LANE
SANTA ANA CA 92705
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ANAYA, ROBERT FRANK

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4866 Primary Status: Cancelled

Address :
24155 LAGUNA HILLS MALL
LAGUNA HILLS CA 92653
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: BARTANIYAN, SANDRA Y

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4493 Primary Status: Delinquent

Address :
30081 OCEANUS
LAGUNA NIGUEL CA 92677
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: EUPERIO, JUSTIN JAMES

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6288 Primary Status: Cancelled

Address :
2 EARTHEN COURT
LADERA RANCH CA 92694
ORANGE COUNTY

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