California State Board of Optometry

Licensing details for: 41493

Name: Shima, Michelle A

License Type: Registered Spectacle Lens Dispenser

Primary Status: Delinquent Primary Status Definition

Address of Record

17324 La Canada Rd.
MADERA CA 93636
MADERA county
Map

Issuance Date

March 1, 2019

Expiration Date

March 31, 2023

Current Date / Time

November 6, 2025
2:2:24 AM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #657

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6873 Primary Status: Current

Address :
7100 N ABBY ST
FRESNO CA 93720
FRESNO COUNTY

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Contact Lens Dispenser

Name: Shima, Michelle

License/Registration Type: Registered Contact Lens Dispenser

License Number: 8535 Primary Status: Delinquent

Address :
17324 La Canada Rd
MADERA CA 93636-8222
MADERA COUNTY