California State Board of Optometry
Licensing details for: 70602
Name: VSP RETAIL, INC. DBA QUALCOMM VISION CENTER
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
10155 Pacific Heights Blvd
SAN DIEGO CA 92121-4214
SAN DIEGO 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: Ancheta, Anthony James
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42796 Primary Status: Current
Address :
3925 33rd St Apt 1
SAN DIEGO CA 92104-2158
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TARR, JEREMIAH SCOTT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6732 Primary Status: Cancelled
Address :
727 Ponta Delgado Ct
EL DORADO HILLS CA 95762-7564
EL DORADO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PHILLIPS, PATRICIA LYNNE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40425 Primary Status: Cancelled
Address :
10155 Pacific Heights Blvd Bldg AZ, Suite 244A
Qualcomm Vision Center
SAN DIEGO CA 92121
SAN DIEGO COUNTY



