California State Board of Optometry
Licensing details for: 70753
Name: TARGET OPTICAL #4577
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
900 Spectrum Center Dr
IRVINE CA 92618-4958
ORANGE county
Map
Customer Rep.
MASON OH 45040-8114
WARREN county
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WHEELER, JACOB RYAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6071 Primary Status: Delinquent
Address :
8218 Camino Alto Dr
RIVERSIDE CA 92504-2438
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kamel, Feby Fayez
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41431 Primary Status: Cancelled
Address :
10487 Slater Ave
202
FOUNTIN VALLY CA 92708
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Dayrit, Xyrelle Pangilinan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42801 Primary Status: Current
Address :
19012 Canyon Meadows Dr
TRABUCO CANYON CA 92679-1051
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: WU, THOMAS HIPUN
License/Registration Type: Optometrist
License Number: 15429 Primary Status: Current
Address :
900 Spectrum Center Dr
IRVINE CA 92618-4958
ORANGE COUNTY



