California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: TYLER-ST. CLAIR, DENISON RUSSELL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40403 Primary Status: Delinquent

Address :
5739 N Cedar Ave
134
FRESNO CA 93710-6659
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Jones, Ashley Suzanne

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42059 Primary Status: Current

Address :
PO Box 3835
FRESNO CA 93650-3835
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Zepeda, Leticia

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42074 Primary Status: Delinquent

Address :
3068 Joy St
SELMA CA 93662-2900
FRESNO COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Coggin, Marnie Lynne

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 44025 Primary Status: Current

Address :
41930 Hana Way
OAKHURST CA 93644-9653

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: MOORE, ALEXANDRA NOELLE KANAN

License/Registration Type: Optometrist

License Number: 14778 Primary Status: Current

Address :
C/O Target Optical
Alexandra Moore
695 Herndon Ave
CLOVIS CA 93612-0104
FRESNO COUNTY

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