California State Board of Optometry
Licensing details for: 71060
Name: tARGET oPTICAL #4784
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
3000 Countryside Dr
TURLOCK CA 95380-8402
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Nicio, Amalia
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42053 Primary Status: Current
Address :
68 Illusion Ct
PATTERSON CA 95363-8347
STANISLAUS COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Stites, Rebekah
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42116 Primary Status: Current
Address :
2104 W Grant Line Rd
TRACY CA 95377-7309
SAN JOAQUIN COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: AVAK, SERGE G
License/Registration Type: Optometrist
License Number: 12194 Primary Status: Current
Address :
3000 Countryside Dr
C / O TARGET OPTICAL
TURLOCK CA 95380-8402
STANISLAUS COUNTY
