California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Zavala, Athenas

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43296 Primary Status: Current

Address :
232 S Brand Blvd
GLENDALE CA 91204-1310
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Ventura, Jaden Edwin

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41766 Primary Status: Current

Address :
5526 W Sunset Blvd
LOS ANGELES CA 90028-8522
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LOZANO, MARIO RUBEN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43511 Primary Status: Current

Address :
9951 Fullbright Ave
CHATSWORTH CA 91311-3932
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Ames, Daniel E III

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43071 Primary Status: Current

Address :
1701 E 12th St
CLEVELAND OH 44114-3236
CUYAHOGA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: AKOPYAN, LEVON

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6315 Primary Status: Current

Address :
18602 Utopia Ct
CANYON COUNTRY CA 91351-3415
LOS ANGELES COUNTY

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