California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: HERNANDEZ, JOHN ANTHONY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 41289 Primary Status: Cancelled

Address :
7255 winnetka ave
apt 106
WINNETKA CA 91306
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: WHITEHEAD, LLOYD

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40709 Primary Status: Current

Address :
1746 N Cherokee Ave
Apt 2U
LOS ANGELES CA 90028-4794
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MAGALLON, RUDY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 2240 Primary Status: Current

Address :
7627 Oak Park Ave
VAN NUYS CA 91406-2120
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ALVAREZ, LEANDRA C

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6107 Primary Status: Cancelled

Address :
5471 NORWICH AVENUE
LOS ANGELES CA 90032
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: NGUYEN, TIFFANY THAI

License/Registration Type: Optometrist

License Number: 15198 Primary Status: Current

Address :
8840 Corbin Ave
NORTHRIDGE CA 91324-3309
LOS ANGELES COUNTY

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