California State Board of Optometry
Licensing details for: 40840
Name: SEYEDI REZVANI, PANTEASADAT
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
2116 Timberwood
IRVINE CA 92620-0270
ORANGE 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 #2546
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6377 Primary Status: Cancelled
Address :
2300 N TUSTIN ST
ORANGE CA 92865
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: SEYEDI REZVANI, PANTEASADAT
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9198 Primary Status: Current
Address :
5078 Manor Ridge Ln
SAN DIEGO CA 92130-2896
SAN DIEGO COUNTY



