California State Board of Optometry
Licensing details for: 7258
Name: LENSCRAFTERS # 1321
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
# 30 THE SHOPS ON MISIION VIEJO
MISSION VIEJO CA 92691
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: PHAM, PETER DANVU
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6174 Primary Status: Cancelled
Address :
22681 Oakgrove Unit 116
ALISO VIEJO CA 92656-6219
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SILVERBERG, MARA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5073 Primary Status: Cancelled
Address :
6225 Coldwater Canyon Ave Unit 303
NORTH HOLLYWOOD CA 91606-3004
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: WHEELER, KELSEY ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40994 Primary Status: Cancelled
Address :
108 Brookhaven Dr
COLUMBIA TN 38401-8876
MAURY COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Kam, Annie
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42316 Primary Status: Delinquent
Address :
7 Radiance Ln
RCHO STA MARG CA 92688-8712
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SHEPHERD, NICOLE ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40092 Primary Status: Cancelled
Address :
34141 Ruby Lantern St Apt C
DANA POINT CA 92629-5518
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Dillon, Michael James
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40805 Primary Status: Cancelled
Address :
21 Drover Ct
TRABUCO CANYON CA 92679-5366
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARACUT, MYRON KENNETH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41013 Primary Status: Current
Address :
2080 Century Park East
Suite 800
LOS ANGELES CA 90067
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Godinez, Jesse
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42235 Primary Status: Current
Address :
24252 Larkwood Ln
LAKE FOREST CA 92630-5218
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: NGUYEN, KRISTEN BAO DUY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43064 Primary Status: Current
Address :
4 Evergreen Rd
LADERA RANCH CA 92694-1014
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DELACRUZ, RYAN CATANGHAL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5850 Primary Status: Current
Address :
26995 EL RETIRO
MISSION VIEJO CA 92692
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: GREBBIN, ANNE GUILMARTIN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6262 Primary Status: Current
Address :
24601 La Hermosa Ave
LAGUNA NIGUEL CA 92677-2106
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FERRERAS, ROBERTO JR.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40846 Primary Status: Cancelled
Address :
724 N Mavis St
Apt 4
ANAHEIM CA 92805-2011
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Chau, Lisa Hong
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41335 Primary Status: Current
Address :
1224 Eckenrode Way
PLACENTIA CA 92870-4235
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JENKS, MATTHEW ALAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40857 Primary Status: Cancelled
Address :
2948 Park St
MARIANNA FL 32446-3114
JACKSON COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DINH, KAYLA LYNN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41007 Primary Status: Cancelled
Address :
25911 Majorca Way
MISSION VIEJO CA 92692-5274
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: JOH, PETER J
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5956 Primary Status: Cancelled
Address :
121 SEASPRAY SOUTH
LAGUNA NIGUEL CA 92677
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COLLINS, ANDREW RAYMOND
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40764 Primary Status: Delinquent
Address :
65 Laurel Ln
ALISO VIEJO CA 92656-2944
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ades, Erin Brighid
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41794 Primary Status: Delinquent
Address :
941 Inn Keeper Ln
Unit A
CORONA CA 92881-7407
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: CARTWRIGHT, DAVID BRYAN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40856 Primary Status: Cancelled
Address :
31021 Samantha Ln
TEMECULA CA 92592-2993
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TANGLAO, EDWARD D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6489 Primary Status: Current
Address :
14545 CHERE DRIVE
WHITTIER CA 90604
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DONOFRIO, JESSICA GAIL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5941 Primary Status: Cancelled
Address :
27952 Melinda Rd Apt 111
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: REZAI, SIAVASH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6291 Primary Status: Cancelled
Address :
15 HEATHERWOOD
ALISO VIEJO CA 92656
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: AGUIRRE, MICHELE ANN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5942 Primary Status: Current
Address :
6822 Hazard Ave
WESTMINSTER CA 92683-4914
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ferrell, John Thomas
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41792 Primary Status: Cancelled
Address :
1544 E Quincy
Apt# A2
ORANGE CA 92867
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TRAN, CHRISTOPHER
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6178 Primary Status: Cancelled
Address :
1360 47th Ave
SAN FRANCISCO CA 94122-1115
SAN FRANCISCO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: ROBINSON, HEATHER RENEE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40991 Primary Status: Current
Address :
3222 S Newton Ave
ONTARIO CA 91761-3880
SAN BERNARDINO COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: SMITH, BOBBY DARRELL
License/Registration Type: Optometrist
License Number: 13941 Primary Status: Current
Address :
10921 Wilshire Blvd
#900
LOS ANGELES CA 90024-3906
ORANGE COUNTY



