California State Board of Optometry
Licensing details for: 6634
Name: SAM'S CLUB #6613
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
7480 CARSON BOULEVARD
LONG BEACH CA 90822
LOS ANGELES county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MENDOZA, JENNIFER LYNN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9219 Primary Status: Current
Address :
5902 Harvey Way
LAKEWOOD CA 90713
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MENDOZA, JENNIFER LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40584 Primary Status: Current
Address :
7480 Carson Blvd
LONG BEACH CA 90808-2362
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KIMMEL, ALITHIA BETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6573 Primary Status: Current
Address :
17792 Palo Verde Ave
CERRITOS CA 90703-2667
LOS ANGELES COUNTY



