California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Khan, Naushaba Ahmed

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42224 Primary Status: Current

Address :
5655 Utsa Blvd Apt 238
SAN ANTONIO TX 78249-1604
BEXAR COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HERRICK, LARA KAYE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40809 Primary Status: Current

Address :
50 Majestic Ct #304
MOORPARK CA 93021-2189
VENTURA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Kahrs, Ashley

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42975 Primary Status: Current

Address :
51 Majestic Ct
#1302
MOORPARK CA 93021-2175

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: CILESIZOGLU, BORA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6418 Primary Status: Cancelled

Address :
3179 Gibraltar Ave
COSTA MESA CA 92626-2350
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: JEDRUSIAK, MELANIE KIM

License/Registration Type: Optometrist

License Number: 11664 Primary Status: Current

Address :
800 New Los Angeles Ave
MOORPARK CA 93021-3585
VENTURA COUNTY

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