California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Phillips, Miranda Vina

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43284 Primary Status: Current

Address :
925 Blossom Hill Rd
SAN JOSE CA 95123-1230
SANTA CLARA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Yu, Errol

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41380 Primary Status: Current

Address :
2801 Stevens Creek Blvd
SANTA CLARA CA 95050-6707
SANTA CLARA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MUMAW, ERIN ASHLEY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40945 Primary Status: Cancelled

Address :
15020 Ridgetop Dr
SAN JOSE CA 95127-1250
SANTA CLARA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SHARMA, YOUSIF KHADER

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40898 Primary Status: Current

Address :
975 Boynton Ave Apt 18
SAN JOSE CA 95117-2013
SANTA CLARA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: AHUJA, RITU

License/Registration Type: Optometrist

License Number: 10874 Primary Status: Current

Address :
2855 Stevens Creek Blvd
Ste 2421
c/o eyexam of ca
SANTA CLARA CA 95050-6742
SANTA CLARA COUNTY

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