California State Board of Optometry
Licensing details for: 7487
Name: TARGET OPTICAL #1956
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
3535 S LA CIENGA BLVD
LOS ANGELES CA 90016
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: Velasquez, ivy D
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8623 Primary Status: Delinquent
Address :
7325 S San Pedro St
LOS ANGELES CA 90003-2239
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Velasquez, ivy D
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41745 Primary Status: Delinquent
Address :
7325 S San Pedro St
LOS ANGELES CA 90003-2239
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RODRIGUEZ, OSVALDO R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40850 Primary Status: Current
Address :
3502 Vinton Ave
LOS ANGELES CA 90034-4803
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: SHACKLEFORD, KARISSA MARJORIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6559 Primary Status: Cancelled
Address :
APT 419
4077 GLENCOE AVE
MARINA DEL REY CA 90292
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PAMILTON, LESTER Jr
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41626 Primary Status: Current
Address :
3809 W 30th St
LOS ANGELES CA 90016-4271
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LARKINS, TYLOR CECILIA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6182 Primary Status: Cancelled
Address :
1238 W 69TH STREET
LOS ANGELES CA 90044
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BARAVARIAN, GOLY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5712 Primary Status: Current
Address :
321 N OAKHURST DR #605
BEVERLY HILLS CA 90210
LOS ANGELES COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: LAM, THUY CAM THI
License/Registration Type: Optometrist
License Number: 11684 Primary Status: Current
Address :
3535 S LA CIENEGA BLVD
LOS ANGELES CA 90016
LOS ANGELES COUNTY



