California State Board of Optometry
Licensing details for: 71160
Name: SuperVista North America
Doing Business As: Brillen
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Delinquent

Address of Record
24012 Avenida De La Carlota
Suite G
LAGUNA HILLS CA 92653-3100
ORANGE 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: Zakeri, Kourosh
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41474 Primary Status: Delinquent
Address :
16 Technology Dr
Suite 130
IRVINE CA 92618-2355
ORANGE COUNTY



