California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Contact Lens Dispenser

Name: GHALY, YVETTE

License/Registration Type: Registered Contact Lens Dispenser

License Number: 2211 Primary Status: Cancelled

Address :
P.O. BOX 1267
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Moreno, Olivia

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43468 Primary Status: Current

Address :
7777 Edinger Ave
Ste 146
HUNTINGTON BEACH CA 92647-5406
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MATTHEWS, EDWARD JR.

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41014 Primary Status: Cancelled

Address :
6 Via Topacio
RCHO STA MARG CA 92688-3120
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: TRAN, JO ANN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5253 Primary Status: Cancelled

Address :
1631 N Silverwood St
ORANGE CA 92867-3861
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LUPERCIO, JOSE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5950 Primary Status: Current

Address :
12552 Janet Ln
GARDEN GROVE CA 92840-5633
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: GHALY, YVETTE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6608 Primary Status: Cancelled

Address :
P.O. BOX 1267
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Lopez, Manuel

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41537 Primary Status: Cancelled

Address :
7777 Edinger Ave
146
HUNTINGTON BEACH CA 92647-3601
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Gutierrez, Agnese

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41820 Primary Status: Current

Address :
8671 Camel Cir
HUNTINGTON BEACH CA 92647-5001

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SAR, SAROEUN

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6354 Primary Status: Current

Address :
2409 w Washington ave
SANTA ANA CA 92806
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Pham, Esther

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43223 Primary Status: Current

Address :
7777 Edinger Ave
Ste 146
HUNTINGTON BEACH CA 92647-3601
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Do, Jimmy

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41322 Primary Status: Cancelled

Address :
27322 Via Bella
CAPISTRANO BEACH CA 92624-1800
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MARSH, MALINDA MARGARET

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3144 Primary Status: Current

Address :
16642 SIMMONE LN
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: PEREZ, DAVID

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6776 Primary Status: Revoked

Address :
1025 W Citron St
CORONA CA 92882
RIVERSIDE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: VU, DAN THE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40953 Primary Status: Cancelled

Address :
5 Blue Oak
RANCHO SANTA MARG CA 92688-1106
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Garcia, Brittany Love

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41808 Primary Status: Current

Address :
1040 E Imperial Hwy
Suite 1F
BREA CA 92821-5632
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Ponce, Jesus Adrian

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41822 Primary Status: Current

Address :
550 S Dorchester St
ANAHEIM CA 92805-4919

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Nguyen, Kristie Thuy Tien

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43860 Primary Status: Current

Address :
7777 Edinger Ave
Ste 146
HUNTINGTON BEACH CA 92647-3601
ORANGE COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: TAM, WENDY

License/Registration Type: Optometrist

License Number: 13979 Primary Status: Current

Address :
7777 EDINGER AVE #146
HUNTINGTON BEACH CA 92647
ORANGE COUNTY

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