California State Board of Optometry
Licensing details for: 70905
Name: LENSCRAFTERS AT MACY'S #9019
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
1111 Plaza Dr
WEST COVINA CA 91790-2803
LOS ANGELES 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: Villanueva garcia, Rolman Alexis
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41301 Primary Status: Cancelled
Address :
911 W 85th St Apt 4
LOS ANGELES CA 90044-4978
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MELENDEZ, ROBERT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6580 Primary Status: Current
Address :
14775 CROSSWOOD RD
LA MIRADA CA 90638
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PENA, CARINA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42086 Primary Status: Current
Address :
5082 Los Olivos Way
RIVERSIDE CA 92505-3234
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Mosqueda, Jocelyn Dafne
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41294 Primary Status: Current
Address :
1637 Cortez St
3
LOS ANGELES CA 90026-5043
LOS ANGELES COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: LAM, AARON YIP
License/Registration Type: Optometrist
License Number: 15364 Primary Status: Current
Address :
496 Plaza Dr
Optometry
WEST COVINA CA 91790-2854
LOS ANGELES COUNTY



