California State Board of Optometry
Licensing details for: 7195
Name: LENSCRAFTERS 5115
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
1150 EL CAMINO REAL SPC 265
SAN BRUNO CA 94066
SAN MATEO 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: CARTER, KENNETH WILLIAM
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40375 Primary Status: Cancelled
Address :
4300 sw 80th ave
OCALA FL 34481
MARION COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GARING, ANGELIE C
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5559 Primary Status: Cancelled
Address :
8417 BROADWAY #215
LEMON GROVE CA 91945
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CHOY, TERENCE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5696 Primary Status: Current
Address :
206 Elmira St
SAN FRANCISCO CA 94124-2210
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TAPIA, KARINA A
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5186 Primary Status: Cancelled
Address :
585 ACACIA AVE
SAN BRUNO CA 94066
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Sibuyan, Ryan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42330 Primary Status: Delinquent
Address :
591 Sawyer St
SAN FRANCISCO CA 94134-3222
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Talavera, Kenneth Kervin Supan
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41009 Primary Status: Current
Address :
17237 Via Estrella
SAN LORENZO CA 94580-2705
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: EDELSTEIN, CHANDRA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40268 Primary Status: Cancelled
Address :
1375 Adobe Dr Apt 3
PACIFICA CA 94044-4107
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SANCHEZ, MARCELO GERARDO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40765 Primary Status: Cancelled
Address :
2807 Castleford Dr
ANTIOCH CA 94509-4709
CONTRA COSTA COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hayes, Kimberly Lynn
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42362 Primary Status: Current
Address :
332 Piedmont Ave
PACIFICA CA 94044-3043
SAN MATEO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: muenchow, Eric
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41757 Primary Status: Delinquent
Address :
172 Sun Ridge Ln
SAN JOSE CA 95123-6501
SANTA CLARA COUNTY



