California State Board of Optometry
Licensing details for: 40388
Name: FUENTES, AMANDA MICHELLE
License Type: Registered Spectacle Lens Dispenser
Primary Status: Delinquent

Previous Names: FUENTES, AMANDA M
Address of Record
10811 Elm Field Rd
MORENO VALLEY CA 92557-3908
RIVERSIDE 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: NATIONAL VISION EYECARE CENTER #1805
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 5738 Primary Status: Cancelled
Address :
79295 HIGHWAY 111
LA QUINTA CA 92253-2060
RIVERSIDE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: AMERICA'S BEST CONTACTS & EYEGLASSES #3765
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70962 Primary Status: Current
Address :
148 A SERRAMONTE CENTER
DALY CITY CA 94015
SAN MATEO COUNTY



