California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: NGUYEN, MAI VUONG

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5349 Primary Status: Current

Address :
1734 E BANYAN AVE
ANAHEIM CA 92805
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GUILLEN TORRES, JUSTIN FRANCISCO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40781 Primary Status: Current

Address :
45425 Robinson Dr
LANCASTER CA 93535-2219
LOS ANGELES COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: AGATEP, RUTH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40768 Primary Status: Current

Address :
10439 San Jose Ave
SOUTH GATE CA 90280-5834
LOS ANGELES COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: AHLMAN, JULEE ELIZABETH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5423 Primary Status: Cancelled

Address :
123 EDGEWATER AVE APT B
BALBOA CA 92661
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Zepeda, Jose Antonio

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43400 Primary Status: Current

Address :
2267 E 108th St
LOS ANGELES CA 90059-1345

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: FRASER, KIMBERLY ELAINE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4913 Primary Status: Cancelled

Address :
2427 VILLAREAL DR
ORANGE CA 92867
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: VO, KAITLYNN CAM-TU

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4693 Primary Status: Cancelled

Address :
1026 N ELAINE DR
SANTA ANA CA 92703
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HA, ANTHONY FRANCIS

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6339 Primary Status: Cancelled

Address :
318 S Cooper St
SANTA ANA CA 92704-1022
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ABERNATHY, KARIN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6093 Primary Status: Cancelled

Address :
1066 Westward Ln
COSTA MESA CA 92627-3919
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: JACKMAN, SCOTT REUBEN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4721 Primary Status: Cancelled

Address :
7346 E GROVEWOOD LN
ORANGE CA 92869
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: NGUYEN, ANTHONY MINH TOAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4940 Primary Status: Delinquent

Address :
33806 Mossy Gln
LAKE ELSINORE CA 92532-2562
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MARSH, MALINDA MARGARET

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3144 Primary Status: Current

Address :
16642 SIMMONE LN
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Ponce, Carl jason

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41084 Primary Status: Cancelled

Address :
2056 Westminster Mall
WESTMINSTER CA 92683-4947
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SLICK, STEVEN EDWARD

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6143 Primary Status: Cancelled

Address :
8193 CALENDULA DRIVE
BUENA PARK CA 90620
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: DIAZ, EDUARDO GONZALO

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41136 Primary Status: Cancelled

Address :
13200 Casa Linda Ln Apt 36
GARDEN GROVE CA 92844-2117
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MENA ROMERO, ALEJANDRO J

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40863 Primary Status: Delinquent

Address :
10575 Fuchsia Cir
SANTA FE SPRINGS CA 90670-6901
LOS ANGELES COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: TRAN, JO ANN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5253 Primary Status: Cancelled

Address :
1631 N Silverwood St
ORANGE CA 92867-3861
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: Yang, Harrison Hang

License/Registration Type: Optometrist

License Number: 33964 Primary Status: Current

Address :
15166 Goldenwest St
Lenscrafters
WESTMINSTER CA 92683-6151
ORANGE COUNTY

Map