California State Board of Optometry
Licensing details for: 71004
Name: LensCrafters at Macy's #9407
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
3500 Tyler St
RIVERSIDE CA 92503-4133
RIVERSIDE 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: URRUTIA, CHRISTINA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40823 Primary Status: Current
Address :
3143 Mammoth Ave
JURUPA VALLEY CA 92509-1471
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ebrahim, Sarah Wael
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41899 Primary Status: Cancelled
Address :
11868 Westminster Ct
LOMA LINDA CA 92354-4175
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: CAMACHO, ORLANDO
License/Registration Type: Optometrist
License Number: 9161 Primary Status: Current
Address :
2051 Galleria At Tyler
RIVERSIDE CA 92503-4143
RIVERSIDE COUNTY



