California State Board of Optometry
Licensing details for: 70764
Name: LENSCRAFTERS AT MACYS #3375
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
3333 Bristol St
COSTA MESA CA 92626-1873
ORANGE county
Map
Customer Rep.
MASON OH 45040-8114
WARREN county
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Myrzabek, Tomiris
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9127 Primary Status: Current
Address :
1377 Spectrum
IRVINE CA 92618-3126
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BDIL, GENNADY GARY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43476 Primary Status: Current
Address :
23932 Sutton Dr
LAKE FOREST CA 92630-2831
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Wang, Shaye
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41786 Primary Status: Cancelled
Address :
368 Barranca Drive
MONTEREY PARK CA 91754
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Myrzabek, Tomiris
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43470 Primary Status: Current
Address :
1377 Spectrum
IRVINE CA 92618-3126
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Nham, David
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42971 Primary Status: Delinquent
Address :
2210 S Linda Way
SANTA ANA CA 92704-4734
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Clayton, Melissa
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42239 Primary Status: Current
Address :
70 Jaripol Cir
RANCHO MISSION VIEJO CA 92694-1584
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Abboud, Sara Johnny
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41372 Primary Status: Delinquent
Address :
Po Box 6230
MORENO VALLEY CA 92554
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ALMANZA, DANIELLE OLGA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6711 Primary Status: Cancelled
Address :
1919 E Romneya Dr Apt 319
ANAHEIM CA 92805-1347
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Vo, Kevin Khoa
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42043 Primary Status: Delinquent
Address :
13464 Prosperity Pl
GARDEN GROVE CA 92843-2700
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Aragon Aragon, Andy Daveed
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41916 Primary Status: Cancelled
Address :
2800 Keller Dr
116
TUSTIN CA 92782
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Buntaram, Ryan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41953 Primary Status: Current
Address :
76 Emerald Clover
IRVINE CA 92620-7319
ORANGE COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: CHANG, CHI CHIA
License/Registration Type: Optometrist
License Number: 14376 Primary Status: Current
Address :
3333 Bristol St Ste 6000
LensCrafters inside Macy's
COSTA MESA CA 92626-1830
ORANGE COUNTY



