California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: RUBIO-ARAUJO, ROSA E

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4800 Primary Status: Delinquent

Address :
308 E 46TH ST
LONG BEACH CA 90807
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Cortez, Cristina

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41366 Primary Status: Delinquent

Address :
15529 Studebaker Rd
NORWALK CA 90650-3515
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Chhin, Kaclica

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41370 Primary Status: Current

Address :
10620 Firestone Blvd
NORWALK CA 90650-7410
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ALBA, GABRIELA EDITH

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5296 Primary Status: Cancelled

Address :
16710 LONGWORTH AVE
CERRITOS CA 90703
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LUCENA, MELISSA MARIE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40203 Primary Status: Current

Address :
15303 Alondra Blvd
LA MIRADA CA 90638-5706
LOS ANGELES COUNTY

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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

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WYATT, TAMMY ELAINE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4389 Primary Status: Cancelled

Address :
5728 HAZELBROOK AVENUE
LAKEWOOD CA 90712
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ARAUJO, NICOLAS G

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4750 Primary Status: Current

Address :
308 E 46TH ST
LONG BEACH CA 90807
LOS ANGELES COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LUMER, DANIEL R

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4865 Primary Status: Cancelled

Address :
3741 OLIVE AVE
LONG BEACH CA 90807
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Chowdhury, Allison Kristen

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41674 Primary Status: Current

Address :
11133 Balboa Blvd
GRANADA HILLS CA 91344-4204
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: BURNISKE, CHERI L

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3763 Primary Status: Current

Address :
350 Marina Drive
40
SEAL BEACH CA 90740
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WARD, TRICIA - MARIE K

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40775 Primary Status: Delinquent

Address :
8900 Sepulveda Westway
CVS Optical
LOS ANGELES CA 90045-3619
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: AMIN, PRIYAL HITENDRA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40999 Primary Status: Current

Address :
15148 Carfax Avenue
BELLFLOWER CA 90706
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: NIX, JAMES C

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4847 Primary Status: Cancelled

Address :
21005 LARCHMONT DR
LAKE FOREST CA 92630
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MARTINEZ, MARIA AMALIA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40294 Primary Status: Cancelled

Address :
346 N Sunset Ave Spc 127
LA PUENTE CA 91744-3519
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: WONG, DANNY

License/Registration Type: Optometrist

License Number: 15338 Primary Status: Current

Address :
457 LOS CERRITOS CTR F 15-16
CERRITOS CA 90703
LOS ANGELES COUNTY

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