California State Board of Optometry
Licensing details for: 7146
Name: SAMS CLUB VISION CENTER #4824
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current
Address of Record
26468 CARL BOYER DRIVE
SANTA CLARITA CA 91351
LOS ANGELES county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TALBOT, LACY L
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1387 Primary Status: Cancelled
Address :
44045 N 15TH ST W # 106
LANCASTER CA 93534
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: GONZALEZ, MARIA SALUD
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8239 Primary Status: Current
Address :
20401 Soledad Canyon Rd
Space #255
CANYON COUNTRY CA 91351-7000
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: BAILEY, MARK ELLIOTT
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1565 Primary Status: Revoked
Address :
6020 NEVADA AVE 17
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: SANCHEZ, ANGIE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1356 Primary Status: Delinquent
Address :
318 E Cypress St
GLENDALE CA 91205-3310
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MOGHANI, DARYOUSH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1927 Primary Status: Cancelled
Address :
17816 KINZIE ST APT 110
NORTHRIDGE CA 91325
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HILL, ERICA TRENICE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1668 Primary Status: Cancelled
Address :
14265 VAN NUYS BLVD # 34
ARLETA CA 91331
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BAILEY, MARK ELLIOTT
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5453 Primary Status: Revoked
Address :
6020 NEVADA AVE 17
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANCHEZ, ANGIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 3504 Primary Status: Current
Address :
501 E Windsor Rd
GLENDALE CA 91205-2307
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TALBOT, LACY L
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5094 Primary Status: Cancelled
Address :
44045 N 15TH ST W # 106
LANCASTER CA 93534
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GONZALEZ, MARIA SALUD
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40513 Primary Status: Current
Address :
14017 Astoria St Apt F102
SYLMAR CA 91342-2913
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AGUILAR, LONDY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40334 Primary Status: Current
Address :
19814 Aldbury St
SANTA CLARITA CA 91351-1107
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HILL, ERICA TRENICE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5590 Primary Status: Cancelled
Address :
14265 VAN NUYS BLVD # 34
ARLETA CA 91331
LOS ANGELES COUNTY
