California State Board of Optometry
Licensing details for: 7502
Name: TARGET OPTICAL #4417
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
27100 EUCALYPTUS
MORENO VALLEY CA 92551
RIVERSIDE 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: Mejia, Samantha Anais
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41964 Primary Status: Current
Address :
29160 Williams Ave
MORENO VALLEY CA 92555-8320
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Jiang, Katherine Jay
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41635 Primary Status: Delinquent
Address :
27100 Eucalyptus Ave
MORENO VALLEY CA 92555-4522
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: PEREZ LUJAN, MARIA ELENA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6038 Primary Status: Current
Address :
6730 Sundance Trl
RIVERSIDE CA 92506-5041
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LENKIEWICZ, ROBERT ANTHONY
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4032 Primary Status: Cancelled
Address :
1301 E Agape Ave
SAN JACINTO CA 92583-5425
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: REYES, EVETTE TATIANNA
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40162 Primary Status: Cancelled
Address :
25689 Turmeric Way
MORENO VALLEY CA 92553-6845
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Aguilar, Sully Marycruz
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41968 Primary Status: Current
Address :
1535 Flamingo St
BEAUMONT CA 92223-3114
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HERNANDEZ, TAMARA JO
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6804 Primary Status: Current
Address :
12971 Moreno Beach Dr
#10202
MORENO VALLEY CA 92555-4423
RIVERSIDE COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: Zhang, Sandra
License/Registration Type: Optometrist
License Number: 33626 Primary Status: Current
Address :
27100 Eucalyptus Ave
MORENO VALLEY CA 92555-4522
RIVERSIDE COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: HAN, BETTY BOYOUNG
License/Registration Type: Optometrist
License Number: 11841 Primary Status: Current
Address :
27100 Eucalyptus Ave
MORENO VALLEY CA 92555-4522
RIVERSIDE COUNTY



