California State Board of Optometry
Licensing details for: 41009
Name: Talavera, Kenneth Kervin Supan
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
17237 Via Estrella
SAN LORENZO CA 94580-2705
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: LENSCRAFTERS 5115
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7195 Primary Status: Cancelled
Address :
1150 EL CAMINO REAL SPC 265
SAN BRUNO CA 94066
SAN MATEO 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
