California State Board of Optometry
Licensing details for: 70758
Name: LENSCRAFTERS AT MACYS #8554
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
9301 Tampa Ave
NORTHRIDGE CA 91324-2503
LOS ANGELES 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: URIAS RIVAS, MANUELA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40723 Primary Status: Current
Address :
815 Cory Dr Apt 1
INGLEWOOD CA 90302-2747
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Verayo, Derric
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43515 Primary Status: Current
Address :
19120 Eccles St
NORTHRIDGE CA 91324-4224
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: YOKOTA, CAROLINE KEIKO
License/Registration Type: Optometrist
License Number: 12222 Primary Status: Current
Address :
9301 Tampa Ave Unit 62
NORTHRIDGE CA 91324-5656
LOS ANGELES COUNTY



