California State Board of Optometry

Licensing details for: 40040

Name: TEDFORD, DERRICK ALAN

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

14025 Moorpark St Apt 11
SHERMAN OAKS CA 91423-3406
LOS ANGELES county
Map

Issuance Date

December 2, 2013

Expiration Date

December 31, 2019

Current Date / Time

November 5, 2025
5:21:31 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #088

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3789 Primary Status: Current

Address :
1601 VERDUGO AVE
BURBANK CA 91506
LOS ANGELES COUNTY