California State Board of Optometry
Licensing details for: 7615
Name: TARGET OPTICAL #4134
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
3245 SPORTS ARENA BLVD
SAN DIEGO CA 92110
SAN DIEGO 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: Pastore, Adeline
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42870 Primary Status: Current
Address :
2638 Alpine Blvd
Unit B
ALPINE CA 91901-2219
ALPINE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: COHEN-SABBAN, MARIEL
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6685 Primary Status: Cancelled
Address :
3245 Sports Arena Blvd
TARGET OPTICAL
SAN DIEGO CA 92110-4529
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ambriz, Laura
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41664 Primary Status: Current
Address :
542 Telegraph Canyon Rd
Unit B
CHULA VISTA CA 91910-6476
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DRUSE, MICHAEL MATTHEW
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5122 Primary Status: Cancelled
Address :
1457 Lighthouse Rd
SAN MARCOS CA 92078-1026
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bailey, Loammy
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41960 Primary Status: Delinquent
Address :
3655 Z St
SAN DIEGO CA 92113-3127
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: RUMBA, STEVEN F
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41012 Primary Status: Current
Address :
4955 Niagara Ave
Apartment 8
SAN DIEGO CA 92107
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MOSCATELLI, MICHELE R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5108 Primary Status: Current
Address :
12943 Moreno Beach Dr # 7206
MORENO VALLEY CA 92555-4464
SAN DIEGO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Navarro, Alyssa Gabriela
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42793 Primary Status: Current
Address :
890 Woodlawn Ave
Apt. C
CHULA VISTA CA 91911-1021
SAN DIEGO COUNTY
Registered Dispensing Optician/Optometrist Co-Location
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Optometrist
Name: Alizadeh, Samira Jalilpour
License/Registration Type: Optometrist
License Number: 34239 Primary Status: Current
Address :
3245 Sports Arena Blvd
SAN DIEGO CA 92110-4529
SAN DIEGO COUNTY



