California State Board of Optometry
Licensing details for: 7317
Name: NATIONAL VISION EYECARE #2082
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Cancelled

Address of Record
12701 TOWN CENTER DR
CERRITOS CA 90703
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: PENALOZA, EVELYN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8264 Primary Status: Delinquent
Address :
12701 Towne Center Dr
CERRITOS CA 90703-9348
LOS ANGELES COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: PRUDHOLME, GINGER MICHELLE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2254 Primary Status: Current
Address :
28842 Jaeger Dr
LAGUNA NIGUEL CA 92677-1324
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TAPIA, MARIA ANTONIA
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1961 Primary Status: Cancelled
Address :
611 W Plum St
COMPTON CA 90222-3937
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: THOMAS, CHRISTINA ALEXANDRIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4665 Primary Status: Cancelled
Address :
1735 LINCOLN AVE #47
TORRANCE CA 90501
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HOUGH, PATRICIA MARY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6630 Primary Status: Cancelled
Address :
# 125
6241 WARNER AVE
HUNTINGTON BEACH CA 92647
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PENALOZA, EVELYN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40511 Primary Status: Delinquent
Address :
12701 Towne Center Dr
CERRITOS CA 90703-9348
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TAPIA, MARIA ANTONIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5737 Primary Status: Cancelled
Address :
611 W Plum St
COMPTON CA 90222-3937
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: FREGOSO, RUBY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40124 Primary Status: Current
Address :
7104 Thomas St
BUENA PARK CA 90621-3830
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PRUDHOLME, GINGER MICHELLE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6552 Primary Status: Current
Address :
28842 Jaeger Dr
LAGUNA NIGUEL CA 92677-1324
ORANGE COUNTY



