California State Board of Optometry
Licensing details for: 70794
Name: TARGET OPTICAL #9663
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
910 Eastlake Pkwy
CHULA VISTA CA 91914-3558
SAN DIEGO county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Del Rosario, Reza
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42173 Primary Status: Cancelled
Address :
2041 Clearwater Pl
CHULA VISTA CA 91913-2463
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bermudez, Christine Ferrer
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42333 Primary Status: Delinquent
Address :
1444 Chance Mountain Pl
CHULA VISTA CA 91913-2826
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DRUSE, MICHAEL MATTHEW
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5122 Primary Status: Cancelled
Address :
1457 Lighthouse Rd
SAN MARCOS CA 92078-1026
SAN DIEGO COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: Shamsaee, Pariya
License/Registration Type: Optometrist
License Number: 33643 Primary Status: Current
Address :
910 Eastlake Pkwy
CHULA VISTA CA 91914-3558
SAN DIEGO COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: Yarnell, Stephanie
License/Registration Type: Optometrist
License Number: 33936 Primary Status: Current
Address :
5680 Balboa Ave
SAN DIEGO CA 92111-2706
SAN DIEGO COUNTY
