California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MANCILLA, JONI KRISTOFER

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40342 Primary Status: Current

Address :
618 W Huntington Dr
MONROVIA CA 91016-3206
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Hernandez, Jose Manuel

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41702 Primary Status: Current

Address :
5011 Baldwin Ave.
TEMPLE CITY CA 91780
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Cardenas, Daniel

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41462 Primary Status: Delinquent

Address :
400 S. Baldwin Avenue
LENSCRAFTERS AT MACY'S
ARCADIA CA 91007
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: VALADEZ, MEAH MIRANDA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41217 Primary Status: Current

Address :
18463 Seaton Ave
PERRIS CA 92570-9724
RIVERSIDE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: CHIOU, TINA CHEN

License/Registration Type: Optometrist

License Number: 14294 Primary Status: Current

Address :
400 S BALDWIN AVE
Spc A2
ARCADIA CA 91007
LOS ANGELES COUNTY

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