California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: STEPHENS, KAILA RENEE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6254 Primary Status: Current

Address :
520 Treeline Dr Unit 205
CORONA CA 92879-5912
RIVERSIDE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Geck, Alisha

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43283 Primary Status: Current

Address :
30602 Santa Margarita Pkwy
RCHO STA MARG CA 92688-2814
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: JOHNSON, CHRIS

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5681 Primary Status: Current

Address :
31508 Corte Salinas
TEMECULA CA 92592-6411
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: LIU, ADAM JAMES

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 6584 Primary Status: Current

Address :
42 Canoe
IRVINE CA 92618-8841
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MARTINEZ, ANDREA DANIELLE

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40024 Primary Status: Cancelled

Address :
130 W Escalones Apt C
SAN CLEMENTE CA 92672-4606
ORANGE COUNTY

Map

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: CIOBANU, DIANA MIHAELA

License/Registration Type: Optometrist

License Number: 12974 Primary Status: Current

Address :
13200 JAMBOREE ROAD
OPTOMETRY DEPARTMENT
IRVINE CA 92602
ORANGE COUNTY

Map