California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: GERSONDE, JUSTIN MARK

License/Registration Type: Registered Contact Lens Dispenser

License Number: 1840 Primary Status: Cancelled

Address :
2080 WITNERS AVENUE APT 12
MONTEREY CA 93940-1972
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MERRITT, RICHARD JAMES

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40312 Primary Status: Cancelled

Address :
5200 Coe Ave Apt 2017
SEASIDE CA 93955-6911
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: FAJARDO, DALUBHASA T

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4805 Primary Status: Cancelled

Address :
1546 CHEROKEE DR
SALINAS CA 93906
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LOCKWOOD, IRVIN FOSTER

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4716 Primary Status: Cancelled

Address :
212 BELDEN ST #2
MONTEREY CA 93940
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LUTE, LISA A

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5543 Primary Status: Cancelled

Address :
2740 Ransford Ave Apt 2
PACIFIC GROVE CA 93950-5130
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LEESON, JESSICA ANN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5531 Primary Status: Cancelled

Address :
5520 Maric Rd
EL DORADO CA 95623-4971
EL DORADO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CALDERON, ELSA IRENE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6849 Primary Status: Cancelled

Address :
1390 LONGMEADOW DRIVE
GILROY CA 95020
SANTA CLARA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ESTELLE, CHARISE GOLDBERG

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40670 Primary Status: Cancelled

Address :
68 Armstrong Rd
SALINAS CA 93908-9220
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: TUMAMAO, JAYNALINE ABIDAYO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40833 Primary Status: Delinquent

Address :
813 Deseret Way Apt D
BAKERSFIELD CA 93309-8643
KERN COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: DAVIDSON, TANA YOKOMIZO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5147 Primary Status: Cancelled

Address :
409 WOOD ST
PACIFIC GROVE CA 93950
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GERSONDE, JUSTIN MARK

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5817 Primary Status: Cancelled

Address :
2080 WITHERS AVENUE #12
MONTEREY CA 93940
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HALL, JOEL JOSHUA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43337 Primary Status: Current

Address :
7005 Bolado Dr
SAN JOSE CA 95119-1828
SANTA CLARA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GARCIA, ILIAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4939 Primary Status: Current

Address :
1241 S Main St
SALINAS CA 93901-2207
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ISLAS, CAROLINE MARIA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42809 Primary Status: Current

Address :
6526 Holiday Way
NORTH HIGHLANDS CA 95660-4050
SACRAMENTO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: DARNULE, ASHA T

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4912 Primary Status: Cancelled

Address :
3843 CAROL AVE # 205
FREMONT CA 94538
ALAMEDA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: KUSY, BROOKE L

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6857 Primary Status: Cancelled

Address :
2741 Ransford Ave Apt 5
PACIFIC GROVE CA 93950-5131
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ISAAC, JOHN DAVID

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40836 Primary Status: Cancelled

Address :
22326 Capote Dr
SALINAS CA 93908-1007
MONTEREY COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: PATEL, AVANI J

License/Registration Type: Optometrist

License Number: 10548 Primary Status: Current

Address :
10951 CHERRY STREET SUITE 101
LOS ALAMITOS CA 90720
ORANGE COUNTY

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