California State Board of Optometry
Licensing details for: 6357
Name: OPTICAL SHOP OF ASPEN
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
583 NEWPORT CENTER DRIVE
NEWPORT BEACH CA 92660
ORANGE county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cordero, Nestor B
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41821 Primary Status: Cancelled
Address :
1000 S Coast Dr
T203
COSTA MESA CA 92626-1767
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Truong, Vuong Brian
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42080 Primary Status: Cancelled
Address :
9628 La Granada Ave
FOUNTAIN VALLEY CA 92708-3527
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HOSHIJIMA, ALICE L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 1843 Primary Status: Cancelled
Address :
15872 DIAMOND ST
WESTMINSTER CA 92683
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GAMMILL, BURTON
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6682 Primary Status: Cancelled
Address :
6486 San Andres Ave
CYPRESS CA 90630-5324
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PAREDES, CYNTHIA ESTELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6299 Primary Status: Delinquent
Address :
1073 S Daybreak Ct
ANAHEIM CA 92808-2406
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARTLETT, MARK JOSEPH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40307 Primary Status: Current
Address :
3409 S Plaza Dr Apt L
SANTA ANA CA 92704-7252
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WINTERS, MATTHEW
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4758 Primary Status: Current
Address :
2656 Larchmont Ave
SANTA ANA CA 92705-6738
ORANGE COUNTY



