California State Board of Optometry
Licensing details for: 41328
Name: Lara-Jimenez, Miguel Andree
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current
Address of Record
14638 Behrens Ave
NORWALK CA 90650-4620
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 #748
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 7096 Primary Status: Current
Address :
5401 KATELLA AVENUE
CYPRESS CA 90720
ORANGE COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: Lara-Jimenez, Miguel Andree
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8467 Primary Status: Current
Address :
14638 Beherens Ave
NORWALK CA 90650
