California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Ramirez, Darwin

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41849 Primary Status: Current

Address :
3755 Bilberry St
110
CASTLE ROCK CO 80109-3216
DOUGLAS COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Lopez Roman, Gabriela

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42195 Primary Status: Cancelled

Address :
1734 Pilot Peak Ave
CHULA VISTA CA 91913-3663

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: McCullough, Michael Lindsay

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41408 Primary Status: Current

Address :
1244 Manor Dr
EL CAJON CA 92021-3310
SAN DIEGO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: PETERSON LUJAN, DEBRA LYNN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40831 Primary Status: Delinquent

Address :
14215 Pecan Park Ln Spc 65
EL CAJON CA 92021-2710
SAN DIEGO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Walton, Melissa

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43340 Primary Status: Current

Address :
130 Town Center Pkwy
SANTEE CA 92071-5818

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