California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ANCHETA, EILEEN GRACE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6441 Primary Status: Cancelled

Address :
4504 N Valentine Ave Apt 157
FRESNO CA 93722-4061
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GONZALEZ, CARLOS ALFONSO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40746 Primary Status: Cancelled

Address :
5877 E Pontiac Way
FRESNO CA 93727-7940
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Salmeron Rodriguez, Pavel

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43273 Primary Status: Current

Address :
420 2nd St
ORANGE COVE CA 93646-2102
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Bayer, David Eric

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42294 Primary Status: Current

Address :
3008 Portsmouth Dr
RANCHO CORDOVA CA 95670-5321
SACRAMENTO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SANCHEZ, ALEJANDRO MARES

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6249 Primary Status: Cancelled

Address :
4757 N WISHON AVENUE
FRESNO CA 93704
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WILSON, STEVEN REESE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40170 Primary Status: Cancelled

Address :
2328 Fairbairn Dr
MODESTO CA 95355-3346
STANISLAUS COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Lara, Nathaniel

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43853 Primary Status: Current

Address :
317 West Ave
SANGER CA 93657-2366
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MAGANA, FERNANDO JR

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6209 Primary Status: Cancelled

Address :
7300 N Fresno St
FRESNO CA 93720-2941
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: VALENCIA, SALVADOR

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5670 Primary Status: Cancelled

Address :
9688 N SHARON AVE
FRESNO CA 93770
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Sanchez, MARIA SABINA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41261 Primary Status: Cancelled

Address :
3241 N Redda Rd
FRESNO CA 93737-9217

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ANDREW, LAURA THYKOOTATHIL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6251 Primary Status: Cancelled

Address :
303 W BLUFF AVENUE
FRESNO CA 93711
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GUERRERO, STEVE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40290 Primary Status: Cancelled

Address :
572 W Mountain View Ave
WOODLAKE CA 93286-1415
TULARE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: JORDAN, MARK HUGHITT

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40693 Primary Status: Delinquent

Address :
6380 E Cortland Ave
FRESNO CA 93727-8932
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Ramos, David

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43270 Primary Status: Current

Address :
2004 10th St
SANGER CA 93657-2957
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ALMANZA, CATHERINE EILEEN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6250 Primary Status: Cancelled

Address :
2716 E HAMPTON WAY
FRESNO CA 93726
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: KHEM, IM

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40284 Primary Status: Cancelled

Address :
2367 S Rogers Ln
FRESNO CA 93727-6349
FRESNO 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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