California State Board of Optometry
Licensing details for: 40776
Name: IRVIN, ROSS SAMUEL
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
725 Stargazer St
BEAUMONT CA 92223-7163
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: COSTCO WHOLESALE #441
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6832 Primary Status: Current
Address :
72-800 DINAH SHORE DR
PALM DESERT CA 92211
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: IRVIN, ROSS SAMUEL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8196 Primary Status: Current
Address :
725 Stargazer St
BEAUMONT CA 92223-7163
RIVERSIDE COUNTY



