California State Board of Optometry
Licensing details for: 6878
Name: SAM'S CLUB #6628
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
2601 SKYPARK DR
TORRANCE CA 90505-5313
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: KIMES, ANDREA MARIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1525 Primary Status: Cancelled
Address :
225 E HARCOURT ST
LONG BEACH CA 90805
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BROWN, CHRISTOPHER
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8068 Primary Status: Current
Address :
360 E Carson St Apt 3
LONG BEACH CA 90807-2730
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: DISMUKE, GLENN AUSTIN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1335 Primary Status: Cancelled
Address :
2499 E 19TH STREET # 6
SIGNAL HILL CA 90755
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: CHAVERS, DARLENE ELNORA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1770 Primary Status: Current
Address :
1950 w Rosamond blvd
Unit 2352
ROSAMOND CA 93560
KERN COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DISMUKE, GLENN AUSTIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4637 Primary Status: Cancelled
Address :
4972 LAMIA WAY
OCEANSIDE CA 92056
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BROWN, CHRISTOPHER F
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40047 Primary Status: Current
Address :
360 E Carson St Apt 3
LONG BEACH CA 90807-2730
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHAVERS, DARLENE ELNORA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5678 Primary Status: Current
Address :
1950 w Rosamond blvd
Unit 2352
ROSAMOND CA 93560
KERN COUNTY



