California State Board of Optometry
Licensing details for: 40095
Name: PEREZ-RENTERIA, MIRIAM SUSESTT
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
4492 Camino De La Plz Ste 1725
SAN YSIDRO CA 92173-3071
SAN DIEGO county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE # 781
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7029 Primary Status: Current
Address :
1130 BROADWAY
CHULA VISTA CA 91910
SAN DIEGO COUNTY



