California State Board of Optometry
Licensing details for: 41192
Name: Kim, Stephen E
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
13111 Peyton Dr
Costco Optical Department
CHINO HILLS CA 91709-6002
SAN BERNARDINO 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: WAL-MART VISION CENTER 2077
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7222 Primary Status: Current
Address :
29260 Central Avenue
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Kim, Stephen E
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8524 Primary Status: Delinquent
Address :
13111 Peyton Dr
Costco Optical Department
CHINO HILLS CA 91709-6002
SAN BERNARDINO COUNTY
