California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: FERNANDEZ, ELAINE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4354 Primary Status: Cancelled

Address :
1129 W GREENHAVEN ST
COVINA CA 91722
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: KYUPELYAN, VARTAN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4779 Primary Status: Current

Address :
617 E Angeleno Ave Apt 105
BURBANK CA 91501-3027
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LECLERC, NINA MARIE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43233 Primary Status: Current

Address :
1275 N Azusa Ave
COVINA CA 91722-1246
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SALINAS, FACUNDO MARTIN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40449 Primary Status: Cancelled

Address :
720 E Kingsley Ave Apt 2
POMONA CA 91767-4860
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: montoya, wilmer winston

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42148 Primary Status: Current

Address :
777 W Covina Blvd
80
COVINA CA 91722-1357
LOS ANGELES COUNTY

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